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Individual

DR. JUSTIN I CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
2044 CENTER AVE, SUITE 2, FORT LEE, NJ 07024-4930
(201) 242-9700
Mailing address
2044 CENTER AVE, SUITE 2, FORT LEE, NJ 07024-4930
(201) 242-9700

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02480100
NJ
1223P0700X
Prosthodontics
055804-01
NY

Other

Enumeration date
09/05/2012
Last updated
09/13/2023
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