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Individual
DR. MIN H KIM
Active
Individual
DR. MIN H KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DJ02489100
NJ
1223P0300X
Periodontics
50056960
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DJ02489100
DENTAL LICENSE
NJ
Enumeration date
09/16/2013
Last updated
11/27/2018
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