Individual
DR. JAE EUN CHOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
61 BACON HILL RD, PLEASANTVILLE, NY 10570-3501
(917) 656-5733
Mailing address
61 BACON HILL RD, PLEASANTVILLE, NY 10570-3501
(917) 656-5733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052288-1
NY
1223G0001X
General Practice Dentistry
DEN4022
ME
Other
Enumeration date
11/28/2007
Last updated
08/20/2010
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