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Organization
YEIN DENTAL GROUP
Active
Organization
YEIN DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUN JUNG LEE D.D.S. (V.P.)
(201) 461-5171
Entity
Organization
Contact information
Practice address
306 BROAD AVE STE 2C, PALISADES PARK, NJ 07650-1689
(201) 461-5171
(201) 461-6882
Mailing address
306 BROAD AVE STE 2C, PALISADES PARK, NJ 07650-1689
(201) 461-5171
(201) 461-6882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02152500
NJ
1223G0001X
General Practice Dentistry
Primary
22DI02153900
NJ
1223G0001X
General Practice Dentistry
22DI02185900
NJ
Other
Enumeration date
01/17/2009
Last updated
01/17/2009
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