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General NPI Number Information
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NPI Number | 1033039581
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Entity Type | Organization
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Legal Business Name | PARK DENTAL NEW JERSEY PC
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 21 MILL ST STE 3
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City | PATERSON
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State | NJ
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Zip | 07501-1886
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Country | US
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Telephone | 973-742-7275
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Fax | 973-881-8686
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Provider Business Mailing Address
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Address Line | 21 MILL ST STE 3
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City | PATERSON
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State | NJ
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Zip | 07501-1886
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Country | US
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Telephone | 973-742-7275
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Fax | 973-881-8686
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. YOUNGMAN CHUN
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Credential | DDS
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Telephone | 973-742-7275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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