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144-148 Linwood Plaza Fort Lee NJ 07024 | |
| (201) 509-1032 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 144-148 Linwood Plaza, Fort Lee, New Jersey |
| Authorized Official Name and Position | Jun John Yoo (OWNER/ASSOCIATE) |
| Authorized Official Contact | 2015091032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
229 Main St P.o. Box #1238 Fort Lee NJ 07024 Ph: () - | 144-148 Linwood Plaza Fort Lee NJ 07024 Ph: (201) 509-1032 |
| NPI Number | 1205418571 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 04/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205418571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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