Individual
DR. YOUNGJAE SUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 S PAULINA ST RM 131, CHICAGO, IL 60612-7210
(312) 996-7555
Mailing address
63 WALL STREET 2106, NEW YORK, NY 10005
(781) 315-3394
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032881
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
063098
NY
Other
Enumeration date
07/27/2022
Last updated
06/26/2023
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