Individual
JEFFREY J KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 MIDWAY PARK DRIVE, MIDDLETOWN, NY 10940
(845) 344-4336
(845) 344-4347
Mailing address
400 MIDWAY PARK DRIVE, MIDDLETOWN, NY 10940
(845) 344-4336
(845) 344-4347
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
044694
NY
Other
Enumeration date
03/03/2006
Last updated
07/06/2012
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