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Organization
THIRD AVENUE BRONX DENTAL PC
Active
Organization
THIRD AVENUE BRONX DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNG KWANG KIM DDS (OWNER)
(718) 618-0162
Entity
Organization
Contact information
Practice address
2740 3RD AVE, BRONX, NY 10455-4036
(718) 618-0162
(718) 618-0173
Mailing address
2740 3RD AVE, BRONX, NY 10455-4036
(718) 618-0162
(718) 618-0173
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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