Individual
DR. JUNG MIN YEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
563 W 169TH ST, NEW YORK, NY 10032-3912
(212) 923-3375
Mailing address
563 W 169TH ST, NEW YORK, NY 10032-3912
(332) 203-2234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060410
NY
Other
Enumeration date
05/01/2018
Last updated
10/07/2019
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