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Organization
SUNNY SMILE GROUP III LLC
Active
Organization
SUNNY SMILE GROUP III LLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DONGHO KIM DMD (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
1384 ATWOOD AVE, JOHNSTON, RI 02919-4904
(401) 934-0400
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3243
RI
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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