Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HA RA JEON, DDS
Active Sole ProprietorDR. HA RA JEON, DDS is a Dental Public Health healthcare provider located in TUSTIN, California. NPI 1629610738 is currently active in the NPPES registry. Verify at CMS.
Dental Public Health · TUSTIN, CA
Registration Details
- NPI Number
- 1629610738
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2019 (6.8835678652008 yrs)
- Last Updated
- Oct 9, 2019
- License
-
101866 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2492 WALNUT AVE STE 200TUSTIN, CA, 927806960Browse CA providers · Browse ZIP 92780
- Phone
- 9496796000
- Fax
- 9496796001
- Primary Specialty
-
Dental Public Health
1223D0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.