Individual
YENA JUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
130 W 86TH ST OFC 1A, NEW YORK, NY 10024-4066
(212) 362-3355
Mailing address
130 W 86TH ST OFC 1A, NEW YORK, NY 10024-4066
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
061091
NY
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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