# BAYSIDE DREAM DENTAL P.C.

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

## Provider details

- **NPI number:** 1992074835
- **Authorized official:** DR. SUNHOON LOH DDS (PRESIDENT)
- **Authorized official phone:** (718) 423-2248

## Contact information

- **Practice address:** 4543A BELL BLVD, BAYSIDE, NY 11361-3364
- **Practice address phone:** (718) 423-2248
- **Mailing address:** 4543A BELL BLVD, BAYSIDE, NY 11361-3364
- **Mailing address phone:** (718) 423-2248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 052578 | NY | Yes |

## Other

- **Enumeration date:** 12/21/2011
- **Last updated:** 12/21/2011