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General NPI Number Information
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NPI Number | 1548143902
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Entity Type | Organization
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Legal Business Name | WONSEOK JANG DENTISTRY PLLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 101 LAFAYETTE ST FL 9
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City | NEW YORK
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State | NY
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Zip | 10013-4153
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Country | US
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Telephone | 212-842-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 101 LAFAYETTE ST FL 9
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City | NEW YORK
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State | NY
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Zip | 10013-4153
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Country | US
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Telephone | 212-842-5300
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WONSEOK JANG
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Credential | DDS
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Telephone | 973-382-4188
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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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Taxonomy #2
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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