Individual
JI YEN SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1600 PARKER AVE APT 16F, FORT LEE, NJ 07024-7006
(201) 889-1070
Mailing address
1600 PARKER AVE APT 16F, FORT LEE, NJ 07024-7006
(201) 889-1070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060772
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/06/2018
Last updated
03/03/2020
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