Individual
EDNA S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MPH
Contact information
Practice address
423 E 23RD ST FL 2, DENTAL CLINIC, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
423 E 23RD ST FL 2, DENTAL CLINIC, NEW YORK, NY 10010-5011
(212) 686-7500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
P64464
NY
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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