Individual
DR. HYE SOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
345 E 24TH ST. 4W, NEW YORK, NY 10010
(646) 530-4769
Mailing address
237 E 26TH ST, APT 1H, NEW YORK, NY 10010
(646) 530-4769
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059848
NY
1223P0700X
Prosthodontics
059848
NY
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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