Organization
SIMPLY ORTHODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY J. KIM DDS (OWNER)
(914) 946-6910
Entity
Organization
Contact information
Practice address
90 BRYANT AVE UNIT TC, EMBASSY BUILDING, WHITE PLAINS, NY 10605-1952
(914) 946-6910
Mailing address
90 BRYANT AVE UNIT TC, EMBASSY BUILDING, WHITE PLAINS, NY 10605-1952
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
044694-1
NY
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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