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Organization
NEW YORK DENTAL GROUP
Active
Organization
NEW YORK DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON KIM DDS (OWNER)
(718) 886-4545
Entity
Organization
Contact information
Practice address
14448 ROOSEVELT AVE, STE. MD-B, FLUSHING, NY 11354-6232
(718) 886-4545
Mailing address
14448 ROOSEVELT AVE, STE. MD-B, FLUSHING, NY 11354-6232
(718) 886-4545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047030
NY
Other
Enumeration date
04/01/2017
Last updated
04/01/2017
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