Individual
ALBERT KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1160 JOHN F. KENNEDY BLVD STE #B, BAYONNE, NJ 07002
(201) 620-9574
Mailing address
1 PARK AVE APT 609, HACKENSACK, NJ 07601-7565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02981800
NJ
1223G0001X
General Practice Dentistry
Primary
22DI02981800
NJ
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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