Shelton Oral Surgery & Implant Center, PC
NPI #1649834243 in Irvington, New Jersey
Provider Information
- NPI Number
- 1649834243
- Entity Type
- Organization
- Organization Name
- Shelton Oral Surgery & Implant Center, PC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Apr 29, 2019
- Last Updated
- Apr 29, 2019
Practice Location
- Address
- 1146 STUYVESANT AVE
- City
- Irvington
- State
- New Jersey
- ZIP Code
- 07111-1059
- Phone
- (973) 849-6587
Authorized Official
- Name
- DR. ANDREW D KIM, DDS
- Title
- PRESIDENT
- Phone
- (973) 849-6587
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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