Organization
SKYVIEW DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KIM DDS (PRESIDENT)
(201) 705-3893
Entity
Organization
Contact information
Practice address
880 RIVER RD STE 2, EDGEWATER, NJ 07020-7231
(848) 216-8367
(201) 548-5020
Mailing address
880 RIVER RD STE 2, EDGEWATER, NJ 07020-7231
(848) 216-8367
(201) 548-5020
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI02472400
LICENSE NUMBER
NJ
Enumeration date
10/30/2020
Last updated
01/05/2021
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