Individual
DR. JOSHUA JEONGWAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3700 MARKET ST STE 101, PHILADELPHIA, PA 19104-3173
(215) 387-0883
Mailing address
275 S BRYN MAWR AVE APT K40, BRYN MAWR, PA 19010-4249
(609) 933-3233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI03019500
NJ
1223G0001X
General Practice Dentistry
Primary
DS044160
PA
Other
Enumeration date
08/17/2023
Last updated
04/29/2024
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