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Individual

DR. DONGSU KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1799 N WILLIAMSON BLVD APT 7210, DAYTONA BEACH, FL 32117-5309
(804) 937-9680
Mailing address
311 E 25TH ST APT 5F, NEW YORK, NY 10010-2501
(804) 937-9680

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN28875
FL

Other

Enumeration date
04/03/2023
Last updated
01/08/2025
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