Individual
CHRISTINE CHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1636 PARKER AVE FL 2, FORT LEE, NJ 07024-6926
(201) 461-0701
Mailing address
6 FRUEH CT, OLD TAPPAN, NJ 07675-7241
(201) 660-7633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02715800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2017
Last updated
10/08/2018
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