Eun Sub Jang, D.D.S. Inc

LBN: Eun Sub Jang, D.D.S. Inc
Eun Sub Jang, D.D.S. Inc is an health care organization with primary practice located at 95 Montgomery Dr # 218, Santa Rosa CA 95404-6630. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Eun Sub Jang, D.D.S. Inc can be contacted via phone (707) 545-3368, or through Jang, Eun Sub via phone (707) 545-3368.

Contact Information

Primary practice address
95 Montgomery Dr # 218 Santa Rosa CA 95404-6630
Phone: (707) 545-3368
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jang, Eun Sub Doctor of Dental Surgery (DDS)
Phone: (707) 545-3368

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 48468 California

Profile Details

NPI number 1720289770
LBN Legal business name Eun Sub Jang, D.D.S. Inc
DBA Doing business as
Authorized official Jang, Eun Sub Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720289770 NPPES
California Other 48468 STATE LICENSE NUMBER

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