Individual
DR. RENEE ROSA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
789 HOWARD AVE, NEW HAVEN, CT 06510
(203) 688-2464
Mailing address
789 HOWARD AVE, NEW HAVEN, CT 06519-1304
(203) 688-2464
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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