Individual
JEHYUN CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
142-10B ROOSEVELT AVE, SUITE #21, FLUSHING, NY 11354-6042
(718) 358-5488
Mailing address
197-15 56TH AVE, FRESH MEADOWS, NY 11365-1707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051051
NY
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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