Individual
DR. ILHYUN JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4150 78TH ST, SUITE101, ELMHURST, NY 11373-1950
(718) 426-4343
(718) 426-4343
Mailing address
4150 78TH ST, SUITE101, ELMHURST, NY 11373-1950
(718) 426-4343
(718) 426-4343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044892
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01435556
—
NY
Enumeration date
11/02/2007
Last updated
11/02/2007
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