Organization
AESTHETIC CREATIONS DENTAL, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STELLA KYUNG-SEOK OH D.D.S. (PRESIDENT)
(646) 382-8443
Entity
Organization
Contact information
Practice address
509 MADISON AVE, SUITE 702, NEW YORK, NY 10022-5501
(212) 688-0103
Mailing address
159 E 30TH ST, #16A, NEW YORK, NY 10016-7300
(646) 382-8443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
052746
NY
1223P0700X
Prosthodontics
Primary
052746
NY
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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