Individual
ANDREW KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
243 W END AVE, NEW YORK, NY 10023-3615
(212) 595-1100
Mailing address
243 W END AVE, NEW YORK, NY 10023-3615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062653
NY
Other
Enumeration date
04/01/2021
Last updated
11/02/2023
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