Individual
JIYOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
230 W 41ST ST FL 2, NEW YORK, NY 10036-7207
(516) 407-9561
Mailing address
450 N END AVE APT 20D, NEW YORK, NY 10282-1111
(352) 222-3267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057710
NY
122300000X
Dentist
28381
TX
Other
Enumeration date
09/14/2012
Last updated
02/10/2022
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