Individual provider · Type 1 NPI

Edmund Jung

General Practice Dentistry · Kenosha, WI

NPI number 1053478115 Active

About NPI 1053478115

Edmund Jung's National Provider Identifier is 1053478115, issued on Jan 1, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kenosha, WI. The record was last updated on Jul 8, 2007.