Individual
DR. HYONGSUP KIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6039
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
060557
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2018
Last updated
02/10/2026
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