M Jung and Mary Patuwo Dental Corporation
NPI #1942966759 in La Mirada, California
Provider Information
- NPI Number
- 1942966759
- Entity Type
- Organization
- Organization Name
- M Jung and Mary Patuwo Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 16, 2021
- Last Updated
- Nov 16, 2021
Practice Location
- Address
- 14796 BEACH BLVD
- City
- La Mirada
- State
- California
- ZIP Code
- 90638-4217
- Phone
- (714) 266-0333
Authorized Official
- Name
- DONG MIN JUNG, RDH
- Title
- VICE PRESIDENT
- Phone
- (714) 266-0333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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