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Organization
PRIME SMILE DENTAL PC
Active
Organization
PRIME SMILE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONGKYUN KIM DDS (CLINICAL DIRECTOR/OWNER)
(201) 313-2277
Entity
Organization
Contact information
Practice address
35-35 149TH STREET, SUITE 203, FLUSHING, NY 11354
(718) 460-9440
Mailing address
35-35 149TH STREET, SUITE 203, FLUSHING, NY 11354
(718) 460-9440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8607157
NY
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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