# S DENTAL CLINIC LLC

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

## Provider details

- **NPI number:** 1437516853
- **Authorized official:** DR. JUSTIN I CHUNG (DENTIST)
- **Authorized official phone:** (201) 242-9700

## Contact information

- **Practice address:** 2044 CENTER AVE STE 2, FORT LEE, NJ 07024-4930
- **Practice address phone:** (201) 242-9700
- **Mailing address:** 2044 CENTER AVE STE 2, FORT LEE, NJ 07024-4930
- **Mailing address phone:** (201) 242-9700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02480100 | NJ | Yes |

## Other

- **Enumeration date:** 01/16/2016
- **Last updated:** 01/16/2016