Individual
DR. MINA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
328 BRIDGE PLZ N APT 1H, FORT LEE, NJ 07024-5013
(201) 947-8168
Mailing address
328 BRIDGE PLZ N APT 1H, FORT LEE, NJ 07024-5013
(201) 947-8168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02330900
NJ
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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