Individual
DR. JONG GYU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6725 CASTOR AVE, PHILADELPHIA, PA 19149
(215) 745-6123
(215) 745-6123
Mailing address
6725 CASTOR AVE, PHILADELPHIA, PA 19149
(215) 745-6123
(215) 745-6123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS020441L
PA
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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