Organization
PALISADES PARK BO ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BO YOUNG YUN DDS (OWNER)
(201) 242-9300
Entity
Organization
Contact information
Practice address
309A BROAD AVE, PALISADES PARK, NJ 07650-1620
(201) 242-9300
(201) 242-3361
Mailing address
309A BROAD AVE, PALISADES PARK, NJ 07650-1620
(201) 242-9300
(201) 242-3361
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02404802
NJ
Other
Enumeration date
05/23/2015
Last updated
05/23/2015
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