Individual
DR. MIN H KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
10 N GASTON AVE, SOMERVILLE, NJ 08876
(908) 218-0770
(908) 218-9789
Mailing address
10 N GASTON AVE, SOMERVILLE, NJ 08876
(908) 218-0770
(908) 218-9789
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DJ02489100
NJ
1223P0300X
Periodontics
50056960
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DJ02489100
DENTAL LICENSE
NJ
Enumeration date
09/16/2013
Last updated
11/27/2018
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