Individual
JAEMYUN SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
644 MT. PROSPECT AVE, NEWARK, NJ 07104
(973) 481-3900
Mailing address
314 HANCOCK CT, EDGEWATER, NJ 07020-1604
(973) 481-3900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22574
NJ
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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