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Individual

YOUNGIN SON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
30 ENGLE ST, APT 3-1, TENAFLY, NJ 07670-2825
(617) 458-6475
Mailing address
30 ENGLE ST, APT 3-1, TENAFLY, NJ 07670-2825

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02555700
NJ

Other

Enumeration date
12/10/2013
Last updated
12/10/2013
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