Heesoo Jeong

NPI #1598442402 in Manteca, California

Provider Information

NPI Number: 1598442402
Entity Type: Individual
Name: Heesoo Jeong
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 3, 2023
Last Updated: Sep 12, 2023

Practice Location

Address: 2288 DANIELS ST
City: Manteca
State: California
ZIP Code: 95337-6706
Phone: (646) 388-4461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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