Individual
DR. KELLY SEOJUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
(212) 951-3378
Mailing address
107 LAKE AVE, TUCKAHOE, NY 10707-3915
(914) 961-3324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063409
NY
Other
Enumeration date
06/11/2022
Last updated
01/03/2024
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