| Jay J Sung Dds Inc | |
|
174 W. College St Covina CA 91723 | |
| (626) 915-5317 | |
| (626) 966-0244 |
| Full Name | Jay J Sung Dds Inc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 174 W. College St, Covina, California |
| Authorized Official Name and Position | Jay J Sung (OWNER) |
| Authorized Official Contact | 6269155317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay J Sung Dds Inc 174 W. College St Covina CA 91723 Ph: (626) 915-5317 | Jay J Sung Dds Inc 174 W. College St Covina CA 91723 Ph: (626) 915-5317 |
| NPI Number | 1306235635 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 01/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306235635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 39093 (California) | Primary |
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