Organization
WHITE PLAINS ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY KIM D.D.S. (OWNER)
(914) 946-9098
Entity
Organization
Contact information
Practice address
90 BRYANT AVE, 1CE, WHITE PLAINS, NY 10605-1952
(914) 946-9098
Mailing address
90 BRYANT AVE, 1CE, WHITE PLAINS, NY 10605-1952
(914) 946-9098
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
044694
NY
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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