| Shon Dental Group Pc | |
|
20 Broadway Passaic NJ 07055-5006 | |
| (917) 951-8657 | |
| Not Available |
| Full Name | Shon Dental Group Pc |
|---|---|
| Speciality | Dentist |
| Location | 20 Broadway, Passaic, New Jersey |
| Authorized Official Name and Position | Young Shon (OWNER/DENTIST) |
| Authorized Official Contact | 9179518657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shon Dental Group Pc 2448 3rd St Fort Lee NJ 07024-4039 Ph: () - | Shon Dental Group Pc 20 Broadway Passaic NJ 07055-5006 Ph: (917) 951-8657 |
| NPI Number | 1356895791 |
|---|---|
| Provider Enumeration Date | 08/14/2016 |
| Last Update Date | 08/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356895791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02423600 (New Jersey) | Primary |
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