Organization
BETHEL ORAL SURGERY LLC
Active
Other names
Bethel Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW KIM D.D.S. (OWNER)
(201) 969-8888
Entity
Organization
Contact information
Practice address
1319 ANDERSON AVE, SUITE #D, FORT LEE, NJ 07024-1770
(201) 969-8888
Mailing address
1319 ANDERSON AVE, SUITE #D, FORT LEE, NJ 07024-1770
(201) 969-8888
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20618
NJ
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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