NPI: 1457404592
Provider Name: JEANNIE CHUNG, DDS, MS, INC
Other Name: RONALD K. FUJITAKI, DDS, MS
Classification: Dentist - 1223P0300X
Entity Type: Organization
Specialization: Periodontics
Address:
39055 HASTINGS ST
SUITE 104
FREMONT, CA
ZIP 94538
Phone: (510) 794-9954
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JEANNIE CHUNG, DDS, MS, INC is a periodontics dentist in Fremont, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. JEANNIE CHUNG, DDS, MS, INC NPI is 1457404592. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Ronald K. Fujitaki, Dds, Ms.
The provider's business location address is:
39055 HASTINGS ST
SUITE 104
FREMONT, CA
ZIP 94538-518
Phone: (510) 794-9954
Fax: (510) 794-1796
The provider's authorized official is Jeannie Chung .
The authorized official title is President and has the following contact phone number (510) 794-9954.
The enumeration date for this NPI number is 1/20/2007 and was last updated on 12/14/2011.