Organization
SHON DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG SHON DDS (OWNER/DENTIST)
(917) 951-8657
Entity
Organization
Contact information
Practice address
20 BROADWAY, PASSAIC, NJ 07055-5006
(917) 951-8657
Mailing address
2448 3RD ST, FORT LEE, NJ 07024-4039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02423600
NJ
Other
Enumeration date
08/14/2016
Last updated
08/14/2016
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