Individual
BRIAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
340 E 23RD ST APT 7C, NEW YORK, NY 10010-4748
(516) 732-3315
Mailing address
106 S WOODS RD, WOODBURY, NY 11797-1012
(516) 732-3315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061827
NY
Other
Enumeration date
01/29/2020
Last updated
12/30/2021
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