Individual
JINSOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1577 E 17TH ST, SUITE 1A, BROOKLYN, NY 11230-6748
(718) 645-1322
(718) 645-1322
Mailing address
1577 E 17TH ST, SUITE 1A, BROOKLYN, NY 11230-6748
(718) 645-1322
(718) 645-1322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047997
NY
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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