Individual
DR. BO NA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
150 BROADWAY, SUITE 1002, NEW YORK, NY 10038-4381
(917) 597-5067
(914) 764-5191
Mailing address
25 OLD SNAKE HILL RD, POUND RIDGE, NY 10576-2101
(917) 597-5067
(914) 764-5191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045096
NY
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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