Elim Dental PC
Dentist, General Practice in Mount Kisco, NY. Organization (NPI-2).
NPI number1689036634
StatusActive
Last updated in NPPESMar 28, 2016
Details
- NPI
- 1689036634
- Entity type
- Organization (NPI-2)
- Legal business name
- Elim Dental PC
- Organization subpart
- No
- Enumeration date
- Mar 28, 2016
- Last updated
- Mar 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
359 E Main StSuite#2e
Mount Kisco, NY 10549-3028
Phone 914-242-3906 · Fax 914-242-8794
Mailing address
359 E Main StSuite#2e
Mount Kisco, NY 10549-3028
Phone 914-242-3906 · Fax 914-242-8794
Authorized official
Jin Sub Oh
President
7813303209
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