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Individual

SAHNG GYOON KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
100 HAVEN AVE, NEW YORK, NY 10032-2645
(212) 342-0107
Mailing address
630 W 168TH ST PH 7STEM, NEW YORK, NY 10032-3725
(215) 971-5811

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
000009
NY
1223E0200X
Endodontics
Primary
056438
NY

Other

Enumeration date
09/29/2009
Last updated
10/11/2012
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