Organization
ELIM DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIN SUB OH D.M.D. (PRESIDENT)
(781) 330-3209
Entity
Organization
Contact information
Practice address
359 E MAIN ST, SUITE#2E, MOUNT KISCO, NY 10549-3028
(914) 242-3906
(914) 242-8794
Mailing address
359 E MAIN ST, SUITE#2E, MOUNT KISCO, NY 10549-3028
(914) 242-3906
(914) 242-8794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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