Organization
S DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN I CHUNG (DENTIST)
(201) 242-9700
Entity
Organization
Contact information
Practice address
2044 CENTER AVE STE 2, FORT LEE, NJ 07024-4930
(201) 242-9700
Mailing address
2044 CENTER AVE STE 2, FORT LEE, NJ 07024-4930
(201) 242-9700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02480100
NJ
Other
Enumeration date
01/16/2016
Last updated
01/16/2016
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