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Individual

DR. HAESIN S JUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS PC

Contact information

Practice address
465 EAST MAIN ST, MIDDLETOWN, NY 10940
(845) 343-8212
(845) 343-8222
Mailing address
465 EAST MAIN ST, MIDDLETOWN, NY 10940
(845) 343-8212
(845) 343-8222

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
047545
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02591495
NY
Enumeration date
09/16/2006
Last updated
05/24/2010
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