Individual
JACLYN ROSE HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
85 OLD SHORE RD STE 201, PORT WASHINGTON, NY 11050-2244
(516) 430-7730
Mailing address
14809 NORTHERN BLVD APT 4J, FLUSHING, NY 11354-4308
(587) 986-5563
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063499
NY
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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