Organization
CS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIJIN WOO DMD (OWNER)
(866) 273-8204
Entity
Organization
Contact information
Practice address
330 N JACOB DR, BLOOMINGTON, IN 47404-4823
(812) 323-7400
(812) 323-7595
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(866) 273-8204
(866) 803-4943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011208A
IN
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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