Organization
BAYSIDE DREAM DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNHOON LOH DDS (PRESIDENT)
(718) 423-2248
Entity
Organization
Contact information
Practice address
4543A BELL BLVD, BAYSIDE, NY 11361-3364
(718) 423-2248
Mailing address
4543A BELL BLVD, BAYSIDE, NY 11361-3364
(718) 423-2248
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
052578
NY
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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