Individual
HYEONG CHAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., PH.D.
Contact information
Practice address
4238 79TH ST, ELMHURST, NY 11373-3057
(917) 602-7420
Mailing address
4238 79TH ST, ELMHURST, NY 11373-3057
(917) 602-7420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055881
NY
Other
Enumeration date
06/29/2010
Last updated
07/20/2012
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