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Organization

CLOSTER DENTAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUNG RAE KIM DDS (PRESIDENT)
(201) 666-2828
Entity
Organization

Contact information

Practice address
570 PIERMONT RD, #C1, CLOSTER, NJ 07624
(201) 666-2828
(201) 750-2314
Mailing address
570 PIERMONT RD, #C1, CLOSTER, NJ 07624
(201) 666-2828
(201) 750-2314

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DI19751
NJ

Other

Enumeration date
08/19/2006
Last updated
08/22/2020
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