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DR. RICHARD K JUNG DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1467624536

Individual Registrant:
DR. RICHARD K JUNG DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
225 BROAD AVE STE 102  PALISADES PARK, NJ 07650-1589 US
Tel: 201-461-5580  Fax: 201-461-5589

Contact information for business:
225 BROAD AVE STE 102  PALISADES PARK, NJ 07650-1589 US
Tel: 201-461-5580  Fax: 201-461-5589

Registration Information:
NPI: 1467624536
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
NJDI 18380

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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