Individual
DR. ALLISON YOUNGAH JANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15-01 BROADWAY, FAIR LAWN, NJ 07410-6003
(734) 709-7722
Mailing address
115 WESTERVELT AVE, TENAFLY, NJ 07670-2546
(734) 709-7722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02553200
NJ
122300000X
Dentist
2901019646
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275730186
—
NJ
05
—
5198971
—
MI
05
—
5198990
—
MI
Enumeration date
07/03/2007
Last updated
04/11/2017
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