Organization
SMILELINE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SOKYONG OM DDS (PRESIDENT)
(718) 460-1802
Entity
Organization
Contact information
Practice address
3522 154TH ST, FLUSHING, NY 11354-5020
(718) 460-1802
(347) 368-6966
Mailing address
3522 154TH ST, FLUSHING, NY 11354-5020
(718) 460-1802
(347) 368-6966
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
047927
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02691927
—
NY
Enumeration date
11/20/2006
Last updated
03/31/2011
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