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Individual

DAEWOONG KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1 BROOKDALE PLZ # 154, BROOKLYN, NY 11212-3198
(718) 240-5000
Mailing address
427 EONJURO, APT 1606, SEOUL, NOT APPLICABLE 06221

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063736
NY
1223G0001X
General Practice Dentistry
12389
CT

Other

Enumeration date
03/04/2022
Last updated
06/07/2025
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