Individual
JENNY HYEJI JANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
347 4TH ST # B, PALISADES PARK, NJ 07650-2220
(347) 604-4357
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02880200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2021
Last updated
05/26/2022
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