Individual
DR. GRACE E JEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. D. S.
Contact information
Practice address
225 W 35TH ST, 2ND FL, NEW YORK, NY 10001-1904
(212) 564-8164
(212) 244-4522
Mailing address
32 W 72ND ST, APT. 4C, NEW YORK, NY 10023-4162
(917) 617-2202
(212) 244-4522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052411
NY
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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