| Tina Jung Dds Ms | |
|
10921 Wilshire Blvd Ste 407 Los Angeles CA 90024-4001 | |
| (213) 335-6366 | |
| Not Available |
| Full Name | Tina Jung Dds Ms |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 10921 Wilshire Blvd Ste 407, Los Angeles, California |
| Authorized Official Name and Position | Tina Jung (OWNER DENTIST) |
| Authorized Official Contact | 2133356366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Jung Dds Ms 10921 Wilshire Blvd Ste 407 Los Angeles CA 90024-4001 Ph: () - | Tina Jung Dds Ms 10921 Wilshire Blvd Ste 407 Los Angeles CA 90024-4001 Ph: (213) 335-6366 |
| NPI Number | 1083493183 |
|---|---|
| Provider Enumeration Date | 09/27/2023 |
| Last Update Date | 09/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083493183 | NPI | - | NPPES |
| DDS64530 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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