Organization
SUNNY SMILE GROUP I LLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DONGHO KIM DMD (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
18 DOWLING VILLAGE BLVD, NORTH SMITHFIELD, RI 02896-8267
(401) 762-1919
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3243
RI
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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