Individual
DR. MATTHEW MIN KYU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
121 TOWNE ST, STAMFORD, CT 06902-5930
(917) 748-7355
Mailing address
121 TOWNE ST, STAMFORD, CT 06902-5930
(917) 748-7355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054305
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03168458
—
NY
Enumeration date
07/11/2007
Last updated
08/09/2013
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