Organization
SHELTON ORAL SURGERY & IMPLANT CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW D KIM DDS (PRESIDENT)
(973) 849-6587
Entity
Organization
Contact information
Practice address
1146 STUYVESANT AVE, IRVINGTON, NJ 07111-1059
(973) 849-6587
Mailing address
1146 STUYVESANT AVE, IRVINGTON, NJ 07111-1059
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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