Individual
JINA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 2ND AVE, NEW YORK, NY 10075
(646) 864-1808
Mailing address
1502 2ND AVE, NEW YORK, NY 10075
(646) 864-1808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062088
NY
Other
Enumeration date
04/13/2020
Last updated
03/21/2025
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