Individual
DR. JIN SUB OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
359 E MAIN ST, SUITE #2E, MOUNT KISCO, NY 10549-3028
(914) 242-3906
Mailing address
359 E MAIN ST, SUITE 2E, MOUNT KISCO, NY 10549-3028
(914) 242-3906
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
058130
NY
122300000X
Dentist
22DI02550500
NJ
1223P0700X
Prosthodontics
Primary
058130
NY
Other
Enumeration date
08/07/2015
Last updated
11/08/2016
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