| Jae Y Jang Dmd Llc | |
|
9601 Blackwell Rd Ste 310 Rockville MD 20850-3472 | |
| (240) 428-7311 | |
| Not Available |
| Full Name | Jae Y Jang Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9601 Blackwell Rd Ste 310, Rockville, Maryland |
| Authorized Official Name and Position | Jae Yeon Jang (OWNER) |
| Authorized Official Contact | 2404287311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Y Jang Dmd Llc 7710 Woodmont Ave Apt 1208 Bethesda MD 20814-6090 Ph: () - | Jae Y Jang Dmd Llc 9601 Blackwell Rd Ste 310 Rockville MD 20850-3472 Ph: (240) 428-7311 |
| NPI Number | 1659038503 |
|---|---|
| Provider Enumeration Date | 11/24/2021 |
| Last Update Date | 11/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659038503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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