Individual
JEREMY YOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
137 WILLOWBROOK RD, STATEN ISLAND, NY 10302-2404
(718) 448-1144
Mailing address
137 WILLOWBROOK RD, STATEN ISLAND, NY 10302-2404
(718) 448-1144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055536
NY
Other
Enumeration date
07/02/2010
Last updated
05/23/2014
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