| Jeeyup Dental Pc | |
|
3931 47th Ave Sunnyside NY 11104-3576 | |
| (718) 392-3634 | |
| Not Available |
| Full Name | Jeeyup Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3931 47th Ave, Sunnyside, New York |
| Authorized Official Name and Position | Jee Yup Kim (PRESIDENT) |
| Authorized Official Contact | 7183923634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeeyup Dental Pc 13702 Northern Blvd Apt 3b Flushing NY 11354-4173 Ph: () - | Jeeyup Dental Pc 3931 47th Ave Sunnyside NY 11104-3576 Ph: (718) 392-3634 |
| NPI Number | 1174830566 |
|---|---|
| Provider Enumeration Date | 09/07/2010 |
| Last Update Date | 02/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174830566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 054395 (New York) | Primary |
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