Individual
HYESUNG IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
600 PINE HOLLOW RD, 4-1A, EAST NORWICH, NY 11732-1042
(917) 653-7145
Mailing address
600 PINE HOLLOW RD, 4-1A, EAST NORWICH, NY 11732-1042
(917) 653-7145
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053915-1
NY
Other
Enumeration date
11/22/2008
Last updated
11/22/2008
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