# SHON DENTAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356895791
- **Authorized official:** DR. YOUNG SHON DDS (OWNER/DENTIST)
- **Authorized official phone:** (917) 951-8657

## Contact information

- **Practice address:** 20 BROADWAY, PASSAIC, NJ 07055-5006
- **Practice address phone:** (917) 951-8657
- **Mailing address:** 2448 3RD ST, FORT LEE, NJ 07024-4039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02423600 | NJ | Yes |

## Other

- **Enumeration date:** 08/14/2016
- **Last updated:** 08/14/2016