| Eun Sub Jang, D.d.s. Inc | |
|
95 Montgomery Dr # 218 Santa Rosa CA 95404-6630 | |
| (707) 545-3368 | |
| Not Available |
| Full Name | Eun Sub Jang, D.d.s. Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 95 Montgomery Dr, Santa Rosa, California |
| Authorized Official Name and Position | Eun Sub Jang (DENTIST) |
| Authorized Official Contact | 7075453368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eun Sub Jang, D.d.s. Inc 95 Montgomery Dr # 218 Santa Rosa CA 95404-6630 Ph: (707) 545-3368 | Eun Sub Jang, D.d.s. Inc 95 Montgomery Dr # 218 Santa Rosa CA 95404-6630 Ph: (707) 545-3368 |
| NPI Number | 1720289770 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720289770 | NPI | - | NPPES |
| 48468 | Other | CA | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48468 (California) | Primary |
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