Individual
KYOUNGSOO JEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10765 BENNETT RD, DUNKIRK, NY 14048-3567
(716) 366-6822
Mailing address
10765 BENNETT RD, DUNKIRK, NY 14048-3567
(716) 366-6822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062608
NY
122300000X
Dentist
30.025666
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2018
Last updated
10/15/2024
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