Individual
CHARLES JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14205 ROOSEVELT AVE, 134, FLUSHING, NY 11354-6045
(718) 762-1700
Mailing address
14205 ROOSEVELT AVE, 134, FLUSHING, NY 11354-6045
(718) 762-1700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0479661
NY
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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