Individual
DR. JIYEON CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
22 WILCOX PL, FAIR LAWN, NJ 07410-5516
(917) 903-2733
Mailing address
150 STONEGATE TRL, CRESSKILL, NJ 07626-2412
(917) 903-2733
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
02331100
NJ
1223P0300X
Periodontics
Primary
051945
NY
Other
Enumeration date
07/19/2007
Last updated
08/26/2015
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