Organization
DANIELLE L SIM DMD PC
Active
Other names
Main Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE L SIM DMD (PRESIDENT)
(718) 710-1893
Entity
Organization
Contact information
Practice address
3901 MAIN ST STE 211, FLUSHING, NY 11354-5435
(718) 710-1893
Mailing address
3901 MAIN ST STE 211, FLUSHING, NY 11354-5435
(718) 710-1893
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054654
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03161864
—
NY
Enumeration date
08/27/2013
Last updated
08/27/2013
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