# PETER HYUNGBAIK JIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912296898
- **Gender:** Man
- **Credential:** D.D.S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02586300 | NJ | Yes |
| 1223G0001X | General Practice Dentistry | 056094 | NY | — |

## Other

- **Enumeration date:** 03/31/2011
- **Last updated:** 10/07/2014