Jentle Jade LLC

NPI #1053513630 in New City, New York

Provider Information

NPI Number: 1053513630
Entity Type: Organization
Organization Name: Jentle Jade LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 5, 2007
Last Updated: Aug 30, 2010

Practice Location

Address: 2 OMNI CT
City: New City
State: New York
ZIP Code: 10956-5211
Phone: (845) 634-5925

Authorized Official

Name: DR. WAI KEE FUNG, D.D.S.
Title: MANAGER
Phone: (845) 595-6288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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