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Organization

RIDGEWOOD DENTAL ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JIN HA JOUNG D.M.D. (MEMBER)
(201) 652-2474
Entity
Organization

Contact information

Practice address
166 FRANKLIN AVE, RIDGEWOOD, NJ 07450-3206
(201) 652-2474
(201) 652-7916
Mailing address
166 FRANKLIN AVE, RIDGEWOOD, NJ 07450-3206
(201) 652-2474
(201) 652-7916

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02373100
NJ
1223P0300X
Periodontics
22DI02373200
NJ
1223P0700X
Prosthodontics
Primary
22DI02373200
NJ

Other

Enumeration date
02/02/2010
Last updated
02/02/2010
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