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Individual

JUNG HOON JASON YANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
490 2ND AVE, 16C, NEW YORK, NY 10016-9156
(646) 964-8409
Mailing address
490 2ND AVE, 16C, NEW YORK, NY 10016-9156
(646) 964-8409

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055760
NY

Other

Enumeration date
08/22/2011
Last updated
08/22/2011
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