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Organization
PRIMARY CARE DENTAL PC
Active
Organization
PRIMARY CARE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY J. KIM D.D.S. (OWNER)
(914) 946-9098
Entity
Organization
Contact information
Practice address
99 FIELDSTONE DR, HARTSDALE, NY 10530-1564
(914) 997-8820
Mailing address
99 FIELDSTONE DR, HARTSDALE, NY 10530-1564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044694-1
NY
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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