Individual
JOANNE LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
480 GENESEE ST, JORDAN HEALTH AT WOODWARD, ROCHESTER, NY 14611-3634
(585) 436-3040
(585) 328-3812
Mailing address
82 HOLLAND ST, ALJHC, ROCHESTER, NY 14605-2131
(585) 423-5800
(585) 423-2890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056421
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03423796
—
NY
Enumeration date
09/11/2009
Last updated
06/11/2015
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