Provider Demographics
NPI:1326380734
Name:SATHE, EUN-JUNG JOAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:EUN-JUNG
Middle Name:JOAN
Last Name:SATHE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:E.
Other - Middle Name:JOAN
Other - Last Name:SATHE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:13 GREAT WOODS LN
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-9697
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:450 CRESSON BLVD.
Practice Address - Street 2:SUITE 210
Practice Address - City:OAKS
Practice Address - State:PA
Practice Address - Zip Code:19456
Practice Address - Country:US
Practice Address - Phone:610-864-3617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-23
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS035114122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist