Organization Name: | CLOSTER DENTAL PC |
NPI Number: | 1578677092 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUNG RAE KIM (PRESIDENT) |
Mailing Address: | 570 Piermont Rd #c1 Closter |
State: | NJ US |
Postal Code: | 07624 |
Phone Number: | 2016662828 |
Fax Number: | 2017502314 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0700X |
License Number: | DI19751 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Prosthodontics |
Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |