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Individual

DR. JIHO KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
50 HAVEN AVE, NEW YORK, NY 10032-2652
(940) 453-4023
Mailing address
211 W 56TH ST APT 36M, NEW YORK, NY 10019-4326

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057041
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/30/2012
Last updated
01/14/2014
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