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Organization
P&S DENTAL LLC
Active
Organization
P&S DENTAL LLC
Active
Other names
Jersey City Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANG HOON PAEK D.D.S. (MEMBER)
(917) 583-6646
Entity
Organization
Contact information
Practice address
162 NEWARK AVE, JERSEY CITY, NJ 07302-2814
(201) 434-0919
(201) 434-1453
Mailing address
162 NEWARK AVE, JERSEY CITY, NJ 07302-2814
(201) 434-0919
(201) 434-1453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2377100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218162
—
NJ
05
—
0229288
—
NJ
05
—
0229296
—
NJ
05
—
8983909
—
NJ
Enumeration date
07/14/2010
Last updated
07/14/2010
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