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Individual

KI YOUN KIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1379 MORRIS AVE STE 1, UNION, NJ 07083-3340
(908) 882-0196
Mailing address
330 E 119TH ST APT 3B, NEW YORK, NY 10035-4287
(917) 460-6661

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
065048
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI03119900
NJ

Other

Enumeration date
10/28/2019
Last updated
12/31/2025
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