Organization
MADISON DENTAL LOFT P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOHAN KIM DMD (PRESIDENT)
(215) 796-8347
Entity
Organization
Contact information
Practice address
30 E 40TH ST RM 602, NEW YORK, NY 10016-1243
(646) 687-7898
(646) 650-2700
Mailing address
30 E 40TH ST RM 602, NEW YORK, NY 10016-1243
(646) 687-7898
(646) 650-2700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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