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Individual
DR. TONY JAEWON KIM
Active
Individual
DR. TONY JAEWON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02840600
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
42246
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
08/25/2026
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