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NPI Code Detail

MEDICARE: DR. SEUNG B LIM D.D.S.

MEDICARE:  DR. SEUNG B LIM  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist056271NY
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry056271NY

General Provider Information

NPI Number : 1790036010
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEUNG B LIM D.D.S.
Provider Business Mailing Address
First Line : 187 JENKINS DR
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632-1607
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 570 MELROSE AVE
Second Line :
City : BRONX
State : NY
Zip : 10455-2705
Country : US
Telephone Number : 718-585-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2012
Last Update Date : 09/18/2015

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Directions to “ DR. SEUNG B LIM D.D.S.” Practice Location

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