Individual
DR. DONG WOONG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2015 CENTER AVE, FORT LEE, NJ 07024-4707
(201) 592-1046
Mailing address
2015 CENTER AVE, FORT LEE, NJ 07024-4707
(201) 592-1046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
010719
CT
1223G0001X
General Practice Dentistry
Primary
22DI02482600
NJ
Other
Enumeration date
09/29/2011
Last updated
03/28/2016
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