Organization
SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOO KIM (PARTNER)
(516) 826-4949
Entity
Organization
Contact information
Practice address
3366 PARK AVE, WANTAGH, NY 11793-3770
(516) 826-4949
Mailing address
3366 PARK AVE, WANTAGH, NY 11793-3770
(516) 826-4949
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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