Individual
DR. JAE AN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1540 US HIGHWAY 46, LITTLE FALLS, NJ 07424-1852
(973) 812-6550
Mailing address
24812 NORTHERN BLVD, 2F, LITTLE NECK, NY 11362-1206
(718) 428-2663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02532400
NJ
Other
Enumeration date
06/04/2013
Last updated
02/27/2014
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