| E. Jang Dental Corporation | |
|
7138 Willow St Sebastopol CA 95472-4306 | |
| (707) 823-5308 | |
| (707) 823-5256 |
| Full Name | E. Jang Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 7138 Willow St, Sebastopol, California |
| Authorized Official Name and Position | Eun Sub Jang (DENTIST) |
| Authorized Official Contact | 7078235308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E. Jang Dental Corporation 7138 Willow St Sebastopol CA 95472-4306 Ph: (707) 823-5308 | E. Jang Dental Corporation 7138 Willow St Sebastopol CA 95472-4306 Ph: (707) 823-5308 |
| NPI Number | 1255474946 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 02/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255474946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48468 (California) | Primary |
Nataliya Vorobets Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 S Main St, Sebastopol, CA 95472 Phone: 707-889-1580 |