Individual
MR. MICHAEL JUNGWIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 BERGEN ST, ROOM B854, NEWARK, NJ 07103-2495
(973) 972-3126
(973) 972-7322
Mailing address
110 BERGEN ST, ROOM B854, NEWARK, NJ 07103-2495
(973) 972-3126
(973) 972-7322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DR02922
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2015
Last updated
02/17/2016
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