Individual
JENNIFER CHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5417 5TH AVE, BROOKLYN, NY 11220-6865
(347) 987-4777
Mailing address
5417 5TH AVE, BROOKLYN, NY 11220-6865
(347) 987-4777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1856028
MA
1223P0221X
Pediatric Dentistry
Primary
057869
NY
Other
Enumeration date
09/30/2013
Last updated
03/16/2016
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