Individual provider · Type 1 NPI

Joonbum Lim, DDS MSC

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number 1780140855 Active

Practice location

1105 Westchester Hall, Department Of Prosthodontics And Digital Technology
Stony Brook, NY 11794-8712

Call (631) 632-3161 Map

Fax (631) 632-3961

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780140855

Joonbum Lim, DDS MSC's National Provider Identifier is 1780140855, issued on Feb 14, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Feb 14, 2019.