Kyoungsoo Jeon

NPI #1245728104 in Dunkirk, New York

Provider Information

NPI Number: 1245728104
Entity Type: Individual
Name: Kyoungsoo Jeon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Apr 26, 2018
Last Updated: Oct 15, 2024

Practice Location

Address: 10765 BENNETT RD
City: Dunkirk
State: New York
ZIP Code: 14048-3567
Phone: (716) 366-6822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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