Chung, Jiyeon

Chung, Jiyeon is an sole proprietor health care provider with primary practice located at 22 Wilcox Pl , Fair Lawn NJ 07410-5516. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Chung, Jiyeon can be contacted via phone (917) 903-2733.

Contact Information

Primary practice address
22 Wilcox Pl Fair Lawn NJ 07410-5516
Phone: (917) 903-2733
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 051945 New York
Dental Providers / Periodontics 1223P0300X 02331100 New Jersey

Profile Details

NPI number 1942400791
LBN Legal business name Chung, Jiyeon
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2007
Last updated Aug 26th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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