Individual
DR. DANIEL LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1166 5TH AVE, EAST NORTHPORT, NY 11731-2631
(610) 739-9503
Mailing address
1166 5TH AVE, EAST NORTHPORT, NY 11731-2631
(610) 739-9503
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
059423
NY
1223G0001X
General Practice Dentistry
059423
NY
1223G0001X
General Practice Dentistry
DN1856965
MA
Other
Enumeration date
07/07/2015
Last updated
09/13/2024
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