Individual
GA YOUNG SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 LAWRENCE RD, NEWTON, NJ 07860
(973) 300-0002
Mailing address
47 CAMBRIDGE TER APT 47A, HACKENSACK, NJ 07601-8525
(201) 410-0577
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02702400
NJ
Other
Enumeration date
04/30/2017
Last updated
11/05/2019
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