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General NPI Number Information
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NPI Number | 1609397538
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Entity Type | Organization
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Legal Business Name | SEARINGTOWN DENTAL PC
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 110 LOCKWOOD AVE
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5028
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Country | US
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Telephone | 914-632-3132
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Fax |
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Provider Business Mailing Address
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Address Line | 140 LOCKWOOD AVE STE 101
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-4907
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Country | US
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Telephone | 914-632-3132
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUNGHWAN SOH
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Credential | DDS
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Telephone | 914-632-3132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 052909
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License Number State | NY
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