Individual
PETER JUNGMAN HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
31 QUARRY ST, KINGSTON, NY 12401-2813
(845) 331-1640
Mailing address
58 TOWN VIEW DR, WAPPINGERS FALLS, NY 12590-7014
(917) 287-5261
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
060846-01
NY
Other
Enumeration date
10/27/2011
Last updated
03/24/2020
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