Ks Dentistry
Dentist, General Practice in New York, NY. Organization (NPI-2).
NPI number1669908620
StatusActive
Last updated in NPPESMay 11, 2017
Details
- NPI
- 1669908620
- Entity type
- Organization (NPI-2)
- Legal business name
- Ks Dentistry
- Organization subpart
- No
- Enumeration date
- May 11, 2017
- Last updated
- May 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 50-055536 | NY | Yes |
Practice location
360 W 43rd St Apt S6aNew York, NY 10036-6486
Phone 917-524-5622
Mailing address
360 W 43rd St Apt S6aNew York, NY 10036-6486
Phone 917-524-5622
Authorized official
Jeremy Yoo
President
9175245622
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