Most Relevant Information
Provider Data
| NPI Number: | 1003222811 |
| Provider Name: | CHUNGMI JO DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 29969 |
Most Important Dates
| Enumeration Date: | 07/01/2014 |
| Last Updated: | 07/01/2014 |
Provider Practice Location
1618 W 287 BUSINESS
WAXAHACHIE
TX
751654706
Practice Location Phone/Fax
| Phone: | 9729376654 |
| Fax: |
Provider Mailing Location
3905 JULIAN ST
FORT WORTH
TX
762447650
Provider Mailing Phone/Fax
| Phone: | 7134710122 |
| Fax: |