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Individual

YOON WEON SUH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
223 BLOOMFIELD AVE, NEWARK, NJ 07104-1104
(973) 435-8100
Mailing address
1100 AVENUE AT PORT IMPERIAL APT 423, WEEHAWKEN, NJ 07086-6988
(917) 892-3866

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
063553
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI03001900
NJ

Other

Enumeration date
11/14/2023
Last updated
11/14/2023
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