Individual
DR. CHONGNAM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
40 18 BELL BLVD, 2ND FL, BAYSIDE, NY 11361
(718) 229-0808
(718) 229-5088
Mailing address
40 18 BELL BLVD, 2ND FL, BAYSIDE, NY 11361
(718) 229-0808
(718) 229-5088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45861
NY
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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