Organization
123 DENTAL GROUP PC
Active
Other names
123 Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
HYO-JIN KIM DDS (PRESIDENT)
(212) 686-1115
Entity
Organization
Contact information
Practice address
123 E 37TH ST, SUITE 1C, NEW YORK, NY 10016-3030
(212) 686-1115
(212) 686-1142
Mailing address
123 E 37TH ST, SUITE 1C, NEW YORK, NY 10016-3030
(212) 686-1115
(212) 686-1142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055884
NY
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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