Individual
MIN JUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 MADISON AVE STE A, NEW YORK, NY 10016-3422
(212) 880-2222
Mailing address
900 AVE AT PORT IMPERIAL BLVD APT 709, WEEHAWKEN, NJ 07086-6106
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
061567
NY
1223P0221X
Pediatric Dentistry
Primary
22DI02791400
NJ
Other
Enumeration date
03/05/2018
Last updated
04/04/2022
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