Organization
JEEYUP DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEE YUP KIM DDS (PRESIDENT)
(718) 392-3634
Entity
Organization
Contact information
Practice address
3931 47TH AVE, SUNNYSIDE, NY 11104-3576
(718) 392-3634
Mailing address
13702 NORTHERN BLVD APT 3B, FLUSHING, NY 11354-4173
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054395
NY
Other
Enumeration date
09/07/2010
Last updated
02/18/2015
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