| NPI | 1285966267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIN HA JOUNG Member 201-652-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NJ 22DI02373200) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02373100) |
| 1223P0300X Dentist, Periodontics (Licence: NJ 22DI02373200) | |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |