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PETER HYUNGBAIK JIN D.D.S

>> Dentist >> Dental Providers

Registrant NPI Number: 1912296898

Individual Registrant:
 PETER HYUNGBAIK JIN D.D.S
Gender: M
Not Sole Proprietor

Location and contact information for practice:
535 BROAD AVE FL 2  PALISADES PARK, NJ 07650-1607 US
Tel: 201-592-0111  Fax: --

Contact information for business:
535 BROAD AVE FL 2  PALISADES PARK, NJ 07650-1607 US
Tel: 201-592-0111  Fax: --

Registration Information:
NPI: 1912296898
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
NJ22DI02586300
N1223G0001XDental Providers
Dentist
NY056094

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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