Individual
DR. JASON M CHEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
111 E 210TH ST, DEPARTMENT OF DENTISTRY, BRONX, NY 10467-2401
(415) 710-7244
Mailing address
111 E 210TH ST, DEPARTMENT OF DENTISTRY, BRONX, NY 10467-2401
(415) 710-7244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054345
NY
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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