Organization
KIM AND KIM DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIN HYCK KIM DDS (OWNER)
(908) 218-0770
Entity
Organization
Contact information
Practice address
10 N GASTON AVE, SOMERVILLE, NJ 08876-2434
(908) 218-0770
(908) 218-9789
Mailing address
10 N GASTON AVE, SOMERVILLE, NJ 08876-2434
(908) 218-0770
(908) 218-9789
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DJ02489100
NEW JERSEY
NJ
Enumeration date
11/20/2018
Last updated
11/20/2018
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