Individual
EUNJUNG JO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
21 ASTOR PL, APT 7C, NEW YORK, NY 10003-6922
(347) 556-2184
Mailing address
21 ASTOR PL, APT 7C, NEW YORK, NY 10003-6922
(347) 556-2184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056719
NY
Other
Enumeration date
01/18/2013
Last updated
07/30/2013
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