# CS DENTAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225330582
- **Authorized official:** DR. KIJIN WOO DMD (OWNER)
- **Authorized official phone:** (866) 273-8204

## Contact information

- **Practice address:** 330 N JACOB DR, BLOOMINGTON, IN 47404-4823
- **Practice address phone:** (812) 323-7400
- **Practice address fax:** (812) 323-7595
- **Mailing address:** PO BOX 3189, SYRACUSE, NY 13220-3189
- **Mailing address phone:** (866) 273-8204
- **Mailing address fax:** (866) 803-4943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12011208A | IN | Yes |

## Other

- **Enumeration date:** 11/18/2010
- **Last updated:** 11/18/2010