Individual
DR. SOO JIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
326 GARDEN ST STE 6, CARLSTADT, NJ 07072
(201) 729-0900
Mailing address
326 GARDEN ST STE 6, CARLSTADT, NJ 07072-1626
(201) 729-0900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
053948
NY
1223G0001X
General Practice Dentistry
Primary
22DI02555900
NJ
Other
Enumeration date
08/19/2008
Last updated
09/05/2019
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