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Organization
SMILE FAMILY DENTAL GROUP
Active
Organization
SMILE FAMILY DENTAL GROUP
Active
Other names
Smile Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE KIM MD (OWNER)
(212) 470-1001
Entity
Organization
Contact information
Practice address
565 W 125TTH ST 2, NEW YORK, NY 10027
(212) 470-1001
(800) 604-6146
Mailing address
565 W 125TTH ST 2, NEW YORK, NY 10027
(212) 470-1001
(800) 604-6146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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