Individual
HYERAN HELEN JEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MSD, DSCD
Contact information
Practice address
240 S. 40TH STREET, DENTAL @ LOCUST WALK, PHILADELPHIA, PA 19104
(215) 898-4615
Mailing address
226 W RITTENHOUSE SQ APT 2114, PHILADELPHIA, PA 19103-5752
(215) 898-4615
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401415085
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS043523
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
RFD000019
PA
Other
Enumeration date
10/20/2016
Last updated
03/30/2023
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