# HADDON LAKE DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pennslanding Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740630367
- **Authorized official:** DR. SUNGHUN KIM DDS (DENTIST)
- **Authorized official phone:** (856) 931-5255

## Contact information

- **Practice address:** 51 W KINGS HWY, MOUNT EPHRAIM, NJ 08059-1304
- **Practice address phone:** (856) 931-5255
- **Mailing address:** 51 W KINGS HWY, MOUNT EPHRAIM, NJ 08059-1304
- **Mailing address phone:** (856) 931-5255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS040816 | PA | Yes |

## Other

- **Enumeration date:** 06/14/2016
- **Last updated:** 06/27/2016