Individual
KIM DAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
110 WILLIAM ST, NEWARK, NJ 07102-1304
(973) 733-4396
Mailing address
397 DRACO RD, PISCATAWAY, NJ 08854-5475
(732) 322-1441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02354300
NJ
Other
Enumeration date
09/06/2007
Last updated
07/19/2023
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