Jung, Kwonduk
Jung, Kwonduk is an individual health care provider with primary practice located at 840 Roosevelt Trl , Windham ME 04062-5375. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jung, Kwonduk can be contacted via phone (207) 894-5580.Contact Information
Primary practice address
840 Roosevelt Trl
Windham ME 04062-5375
Phone: (207) 894-5580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DEN5055 | Maine |
Profile Details
| NPI number | 1346024916 |
|---|---|
| LBN Legal business name | Jung, Kwonduk |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2023 |
| Last updated | Aug 23rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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