Organization
BLOOMFIELD ORAL HEALTH
Active
Parent organization
BLOOMFIELD ORAL HEALTH
Other names
bloomfield oral health
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLOOMFIELD ORAL HEALTH
Authorized official
DR. SUNOOK HWANG DDS (DOCTOR/OWNER)
(585) 657-6909
Entity
Organization
Contact information
Practice address
54 W MAIN ST, BLOOMFIELD, NY 14469
(585) 657-6909
(585) 657-7016
Mailing address
54 W MAIN ST, PO BOX 369, BLOOMFIELD, NY 14469
(585) 657-6909
(585) 657-7016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051500-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02676020
—
NY
Enumeration date
10/21/2010
Last updated
10/21/2010
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