Individual
DR. JONATHAN J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2 SUMMIT CT, SUITE 206, FISHKILL, NY 12524-1348
(845) 896-9192
Mailing address
23 GREENWICH AVE, CENTRAL VALLEY, NY 10917-3717
(845) 827-6470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48088
NY
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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