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Individual

DAVID KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4891
Mailing address
831 MAPLE AVE, RIDGEFIELD, NJ 07657-1216
(201) 403-5347

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058192
NY

Other

Enumeration date
06/19/2014
Last updated
08/25/2015
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