Individual
JUNG TAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
57 W 57TH ST, SUITE 1001, NEW YORK, NY 10019-2802
(212) 307-0940
(212) 307-0945
Mailing address
57 W 57TH ST, SUITE 1001, NEW YORK, NY 10019-2802
(212) 307-0940
(212) 307-0945
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043000
NY
Other
Enumeration date
12/29/2009
Last updated
10/29/2014
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