National Provider Identifier

Phanith Leang Lim, D.D.S.

Phanith Leang Lim, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Boston, NY and a listed phone number of (716) 941-5352.

NPI 1558561308Boston, NYGeneral Practice Dentistry

Profile Overview

NPI
1558561308
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
July 20, 2007
Last Updated
September 28, 2007

Practice Location

  • 9290 Boston State RD
  • Boston, NY 14025-9604

Phone: (716) 941-5352

Mailing Address

  • 271 Palmdale Dr Apt 3
  • Williamsville, NY 14221-4013

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1558561308
Entity Type
Individual
Last Name
Lim
First Name
Phanith
Middle Name
Leang
Name Prefix
Dr.
Credential
D.D.S.
Mailing Street Address
271 Palmdale Dr Apt 3
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-4013
Mailing Country
US
Mailing Phone
(571) 276-5045
Practice Street Address
9290 Boston State RD
Practice City
Boston
Practice State
NY
Practice ZIP Code
14025-9604
Practice Country
US
Practice Phone
(716) 941-5352
Enumeration Date
July 20, 2007
Last Updated
September 28, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)