Individual
DR. JEFF JIH KOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
815 TROY SCHENECTADY RD, LATHAM, NY 12110-2445
(518) 785-1067
Mailing address
815 TROY SCHENECTADY RD, LATHAM, NY 12110-2445
(518) 785-1067
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
046036
NY
Other
Enumeration date
09/30/2005
Last updated
03/02/2022
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