Individual
DR. DANA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
24825 NORTHERN BLVD # 2, LITTLE NECK, NY 11362-1211
(718) 279-0007
Mailing address
130 S MIDDLE NECK RD APT 9, GREAT NECK, NY 11021-3763
(917) 854-0776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061702
NY
Other
Enumeration date
08/27/2018
Last updated
11/19/2021
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