Individual
JASON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
144-48 ROOSEVELT AVE, STE MD-B, FLUSHING, NY 11354
(718) 886-4545
(718) 886-0029
Mailing address
144-48 ROOSEVELT AVE, STE MD-B, FLUSHING, NY 11354
(718) 886-4545
(718) 886-0029
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047030
NY
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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