# BETHEL ORAL SURGERY & IMPLANTS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881174969
- **Authorized official:** DR. ANDREW KIM DDS (OWNER)
- **Authorized official phone:** (201) 969-8888

## Contact information

- **Practice address:** 1319 ANDERSON AVE STE D, FORT LEE, NJ 07024-1734
- **Practice address phone:** (201) 969-8888
- **Practice address fax:** (888) 633-4455
- **Mailing address:** 1319 ANDERSON AVE STE D, FORT LEE, NJ 07024-1734
- **Mailing address phone:** (201) 969-8888
- **Mailing address fax:** (888) 633-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2018
- **Last updated:** 08/17/2018