Organization
LINDENHURST STATION DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN SHIN KIM DDS (OWNER)
(631) 226-1155
Entity
Organization
Contact information
Practice address
152 N WELLWOOD AVE STE 6, LINDENHURST, NY 11757-4002
(631) 226-1155
Mailing address
152 N WELLWOOD AVE STE 6, LINDENHURST, NY 11757-4002
(631) 226-1155
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
056133
NY
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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