Search › California › 122300000X
Heesoo Jeong
NPI 1598442402 · on the registry since 2023
Practice
- Address
- 2288 Daniels St
Manteca, CA 95337 - Phone
- (646) 388-4461
- Organisation at this address
- Robert P. Nakaki Dental Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California