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Organization
JC ORAL HEALTH CARE PA
Active
Organization
JC ORAL HEALTH CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JUNG (MANAGER)
(201) 332-0003
Entity
Organization
Contact information
Practice address
103 GREENE ST FL 2, JERSEY CITY, NJ 07302-3868
(201) 332-0003
(201) 266-4686
Mailing address
103 GREENE ST FL 2, JERSEY CITY, NJ 07302-3868
(201) 332-0003
(201) 266-4686
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/01/2018
Last updated
12/01/2018
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