Individual
DR. TAEWAN JOHN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(404) 372-4882
Mailing address
3737 CHESTNUT ST APT 805, PHILADELPHIA, PA 19104-7708
(404) 372-4882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041978
PA
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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