Individual
DR. JUN OH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
10737 71ST AVE STE 4, FOREST HILLS, NY 11375
(516) 987-0036
Mailing address
4543 216TH ST, BAYSIDE, NY 11361-3450
(516) 987-0036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
057338
NY
Other
Enumeration date
06/12/2013
Last updated
02/10/2019
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