Soo Cheol Jeong D.D.S.

NPI 1154648079 - Dentist - 122300000X

NPI Details
NPI 1154648079
Gender Male
Enumeration Date 05/02/2010
Last Updated 11/24/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
1 MED CENTER DR
MORGANTOWN WV, 26505-4501, US
Phone (304) 293-6129
Fax
Business Location
P.O. BOX 1587
MORGANTOWN WV, 26507, US
Phone (612) 423-8545
Fax
Toxanomy
Taxonomy Code 122300000X
License State West Virginia
License Number 4120
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According to our database, Dr. Soo Cheol Jeong D.D.S. NPI is 1154648079, taxonomy code is 122300000X and license number is 4120, license state is located at West Virginia. Soo Cheol Jeong D.D.S. physically located at 1 Med Center Dr, Morgantown WV, 26505-4501. NPI Number Soo Cheol Jeong D.D.S. has the Individual type.

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1154648079 NPI number is provided on an as is basis without warranty of any kind. 1154648079 is maintained by the National Plan & Provider Enumeration System. The contents of Soo Cheol Jeong D.D.S. are for informational purposes only.