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Organization
BETHEL ORAL SURGERY LLC
Active
Organization
BETHEL ORAL SURGERY LLC
Active
Other names
Bethel Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW KIM D.D.S. (OWNER)
(201) 969-8888
Entity
Organization
Contact information
Practice address
1319 ANDERSON AVE, SUITE #D, FORT LEE, NJ 07024-1770
(201) 969-8888
Mailing address
1319 ANDERSON AVE, SUITE #D, FORT LEE, NJ 07024-1770
(201) 969-8888
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20618
NJ
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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