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Organization
KWANG HAN KIM DDS, PL
Active
Organization
KWANG HAN KIM DDS, PL
Active
Other names
Prime Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KWANG HAN KIM DDS (OWNER)
(718) 344-3610
Entity
Organization
Contact information
Practice address
2071 2ND AVE, NEW YORK, NY 10029-4101
(212) 970-1122
(212) 970-1105
Mailing address
2071 2ND AVE, NEW YORK, NY 10029-4101
(212) 970-1122
(212) 970-1105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03289865
—
NY
Enumeration date
06/15/2021
Last updated
06/15/2021
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