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Organization
YOUNG W KIM
Active
Organization
YOUNG W KIM
Active
Other names
Richland Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG W KIM DDS (DENTIST/ OWNER)
(856) 365-8613
Entity
Organization
Contact information
Practice address
1105 KAIGHNS AVE, CAMDEN, NJ 08103-2711
(856) 365-8613
(856) 365-8575
Mailing address
1105 KAIGHNS AVE, CAMDEN, NJ 08103-2711
(856) 365-8613
(856) 365-8575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI021681
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1964861
MEDICAID
PA
05
—
8700001
—
NJ
Enumeration date
11/22/2005
Last updated
07/10/2008
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