Organization
JACKSON JEONG DDS LLC
Active
Other names
Smile Hero
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON JEONG DDS (OWNER/DENTIST)
(617) 834-0237
Entity
Organization
Contact information
Practice address
521 COUNTY ROUTE 515, UNIT 3 AND 4, VERNON, NJ 07462
(617) 834-0237
Mailing address
526 GLEN AVE # A, PALISADES PARK, NJ 07650-1806
(617) 834-0237
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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