S Dental Institute

NPI #1043609076 in Fort Lee, New Jersey

Provider Information

NPI Number: 1043609076
Entity Type: Organization
Organization Name: S Dental Institute
Primary Specialty: Dentist
Enumeration Date: Jan 14, 2015
Last Updated: Jan 14, 2015

Practice Location

Address: 2044 CENTER AVE
City: Fort Lee
State: New Jersey
ZIP Code: 07024-4930
Phone: (201) 242-9700

Authorized Official

Name: DR. JUSTIN CHUNG
Title: PRESIDENT
Phone: (201) 242-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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