Individual
DR. JUNG-MIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
57 W 57TH ST STE 710, NEW YORK, NY 10019
(212) 564-1888
(212) 564-1161
Mailing address
100 OLD PALISADE RD APT 2705, FORT LEE, NJ 07024-7022
(646) 436-4709
(212) 564-1161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051532
NY
122300000X
Dentist
22DI02280100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02594154
—
NY
Enumeration date
01/26/2007
Last updated
05/15/2018
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