Individual
DR. IRENE T KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
225 E 64TH ST STE 1, NEW YORK, NY 10065-6684
(212) 838-0940
Mailing address
311 E 50TH ST APT 14A, NEW YORK, NY 10022-7941
(443) 813-0628
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1857701
MA
1223P0300X
Periodontics
Primary
061036
NY
Other
Enumeration date
07/24/2017
Last updated
02/25/2021
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