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Organization
W DENTAL PRACTICE
Active
Organization
W DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN CHUNG (DENTIST)
(914) 997-0812
Entity
Organization
Contact information
Practice address
185 MAPLE AVE STE 122, WHITE PLAINS, NY 10601-4716
(914) 997-0812
Mailing address
185 MAPLE AVE STE 122, WHITE PLAINS, NY 10601-4716
(914) 997-0812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/01/2018
Last updated
12/01/2018
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