Organization
JENTLE JADE LLC
Active
Other names
Today's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAI KEE FUNG D.D.S. (MANAGER)
(845) 595-6288
Entity
Organization
Contact information
Practice address
2 OMNI CT, NEW CITY, NY 10956-5211
(845) 634-5925
(845) 634-8242
Mailing address
1614-0 UNION VALLEY RD, #310, WEST MILFORD, NJ 07480
(845) 595-6288
(845) 595-2275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048326
NY
Other
Enumeration date
06/05/2007
Last updated
08/30/2010
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