Chung, Jackie

Chung, Jackie is an individual health care provider with primary practice located at Santa Barbara Community Based Outpatient Clinic 4440 Calle Real Ave, Santa Barbara CA 93110-8639. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Chung, Jackie can be contacted via phone (805) 638-1491.

Contact Information

Primary practice address
Santa Barbara Community Based Outpatient Clinic 4440 Calle Real Ave Santa Barbara CA 93110-8639
Phone: (805) 638-1491
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 009283 Connecticut

Profile Details

NPI number 1700831963
LBN Legal business name Chung, Jackie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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