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Minsuk Cha
Pediatric Dentist in Jersey City, New Jersey
NPI 1073105573

Minsuk Cha is a Pediatric Dentist based in Jersey City, NJ and is specialized in Pediatric Dentistry. Minsuk Cha practices in Jersey City, NJ. The NPI Number for Minsuk Cha is 1073105573 and holds a License No. (New Jersey).

The current practice location address for Minsuk Cha is 165 Ocean Ave, Jersey City, NJ and can be reached out via phone at 551-554-3500.

Location: 165 Ocean Ave, Jersey City, NJ, 07305-3812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073105573
Provider Name
Minsuk Cha
Credential
Provider Entity Type
Individual
Gender
Male
Address
165 Ocean Ave, Jersey City, NJ, 07305-3812
Phone Number
551-554-3500
Fax Number
Provider Enumeration Date
02/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
165 Ocean Ave
City
Jersey City
State
New Jersey
Zip
07305-3812
Phone Number
551-554-3500
Fax Number
person
Provider Business Mailing Address Details
Address
165 Ocean Ave
City
Jersey City
State
New Jersey
Zip
07305-3812
Phone Number
551-554-3500
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
22DI02966500 (New Jersey)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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