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Jamie Jisoo Sung
General Practice Dentistry in Goleta, California
NPI 1508433798

Jamie Jisoo Sung is a General Practice Dentistry based in Goleta, CA and is specialized in General Practice. Jamie Jisoo Sung practices in Goleta, CA. The NPI Number for Jamie Jisoo Sung is 1508433798 and holds a License No. NA (California).

The current practice location address for Jamie Jisoo Sung is 5680 Calle Real, Goleta, CA and can be reached out via phone at 805-979-3037.

Location: 5680 Calle Real, Goleta, CA, 93117-2390
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508433798
Provider Name
Jamie Jisoo Sung
Credential
Provider Entity Type
Individual
Gender
Female
Address
5680 Calle Real, Goleta, CA, 93117-2390
Phone Number
805-979-3037
Fax Number
Provider Enumeration Date
06/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5680 Calle Real
City
Goleta
State
California
Zip
93117-2317
Phone Number
805-979-3037
Fax Number
person
Provider Business Mailing Address Details
Address
5680 Calle Real
City
Goleta
State
California
Zip
93117-2317
Phone Number
805-979-3037
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
107885 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
NA (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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