Organization
HI DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HYESUNG IM DDS (OWNER)
(516) 586-8877
Entity
Organization
Contact information
Practice address
154 S FRONT ST, FARMINGDALE, NY 11735-2637
(516) 586-8877
(516) 586-8878
Mailing address
154 S FRONT ST, FARMINGDALE, NY 11735-2637
(516) 586-8877
(516) 586-8878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0539151
NY
Other
Enumeration date
05/05/2016
Last updated
10/10/2016
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