Individual
HELEN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
13107 40TH RD STE E30, FLUSHING, NY 11354-5205
(718) 353-3332
Mailing address
13107 40TH RD STE E30, FLUSHING, NY 11354-5205
(718) 353-3332
(718) 353-7359
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
057467
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04680306
—
NY
Enumeration date
05/27/2014
Last updated
05/03/2017
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