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Individual

JOHN Y KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1936 COTTMAN AVE, PHILA, PA 19111-3800
(215) 728-0777
Mailing address
921 FANSHAWE ST, PHILA, PA 19111-4801
(215) 779-6957
(215) 695-0622

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024115L
PA

Other

Enumeration date
07/22/2009
Last updated
07/22/2009
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