Individual
DONGHYUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 KNICKERBOCKER AVE # 2ND, BROOKLYN, NY 11237-4102
(718) 573-3333
Mailing address
2375 BELL BLVD APT 1, BAYSIDE, NY 11360-2004
(347) 229-3816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061307
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2019
Last updated
12/08/2021
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