Individual
DR. DAVID JIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1315 ANDERSON AVE STE A, FORT LEE, NJ 07024-1732
(201) 224-4400
(201) 224-4418
Mailing address
1315 ANDERSON AVE STE A, FORT LEE, NJ 07024-1732
(201) 224-4400
(201) 224-4418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
047558-1
NY
122300000X
Dentist
Primary
22DI02183600
NJ
1223G0001X
General Practice Dentistry
22DI02183600
NJ
Other
Enumeration date
05/24/2005
Last updated
10/23/2022
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