Organization
BRACESNSMILES JILLIAN LIM DMD MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILLIAN LIM D.M.D., M.S. (PRESIDENT)
(212) 831-8414
Entity
Organization
Contact information
Practice address
432 E 116TH ST, NEW YORK, NY 10029-1620
(212) 831-8414
(212) 831-8475
Mailing address
432 E 116TH ST, NEW YORK, NY 10029-1620
(212) 831-8414
(212) 831-8475
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0444481
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01516632
—
NY
Enumeration date
08/29/2008
Last updated
08/29/2008
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