Eun Sub Jang in Sebastopol - General Practice

Eun Sub Jang - NPI 1467599274

Eun Sub Jang is a General Practice in Sebastopol, California. Eun Sub Jang practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eun Sub Jang is 1467599274. The last update date is 2014-11-10.

Eun Sub Jang's current location address is 7138 Willow St, Sebastopol, California. You can contact this provider via phone number 7078235308 and fax number 7078235256. The mailing address for Eun Sub Jang is 7138 Willow St, Sebastopol, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Eun Sub Jang
Address 7138 Willow St, Sebastopol, California
Phone Number 7078235308
Fax Number 7078235256
Sole Proprietor Y
Credentials D. D. S.

NPI Number Detail

NPI Number 1467599274
Provider Enumeration Date 2007-01-31
Last Updated Date 2014-11-10

Provider Mailing Address Detail

Address 7138 Willow St
City Sebastopol
State California (CA)
Post Code 954724306
Phone Number 7078235308
Fax Number 7078235256

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 48468
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Eun Sub Jang

What is the unique 10-digit identification code issued to Eun Sub Jang by the Centers for Medicare & Medicaid Services?

The Eun Sub Jang has been assigned the NPI (National Provider Identifier) 1467599274 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Eun Sub Jang's facilities are situated?

The facilities of Eun Sub Jang are physically located at the following address: 7138 Willow St, Sebastopol, CA, 954724306.

What is Eun Sub Jang's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Eun Sub Jang's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

When was the Eun Sub Jang's 1467599274 issued?

The Eun Sub Jang's 1467599274 was issued on 2007-01-31.

As of what date were the details related to Eun Sub Jang most recently updated or revised?

The information pertaining to Eun Sub Jang, including its address, specialty, and other relevant details, was last updated or revised on 2014-11-10.

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