Individual
JONG LIM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8345 BROADWAY, ELMHURST, NY 11373-5703
(718) 760-4178
(718) 271-8432
Mailing address
8345 BROADWAY, ELMHURST, NY 11373-5703
(718) 760-4178
(718) 271-8432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047374
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01892575
—
NY
Enumeration date
11/17/2005
Last updated
07/09/2007
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