Individual
DR. JOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3366 PARK AVE, WANTAGH, NY 11793-3770
(646) 784-2703
Mailing address
3366 PARK AVE, WANTAGH, NY 11793-3770
(516) 826-4949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054830-1
NY
122300000X
Dentist
22DI02390000
NJ
Other
Enumeration date
12/15/2008
Last updated
09/24/2025
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