Heesoo Jeong
NPI 1598442402 · Dentist · Manteca, CA
Heesoo Jeong is a Dentist provider in Manteca, CA (NPI 1598442402).
Provider details
- NPI number
- 1598442402
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 109362 (CA)
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-03
- Last updated
- 2023-09-12
- Certified
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.