Individual
DR. DANIEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
800 WOODBURY RD STE B, WOODBURY, NY 11797-2503
(516) 921-0222
Mailing address
6414 229TH ST, FL 2, OAKLAND GARDENS, NY 11364-2712
(917) 628-0754
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0585891
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2015
Last updated
04/20/2018
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