Individual
DR. JOHN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30 CENTRAL PARK S, 1B, NEW YORK, NY 10019-1628
(212) 935-6241
Mailing address
30 CENTRAL PARK S, 1B, NEW YORK, NY 10019-1628
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044815-1
NY
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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