Individual
DR. BYUNGTAE HENRY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
570 PIERMONT RD., CLOSTER, NJ 07624
(201) 750-7190
(201) 750-7192
Mailing address
570 PIERMONT RD., CLOSTER, NJ 07624
(201) 750-7190
(201) 750-7192
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13151
NJ
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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