Individual
JOHNNY JUNHONG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1103 STEWART AVE STE 104, GARDEN CITY, NY 11530-4886
(516) 222-1822
Mailing address
555 10TH ST UNIT 304, PALISADES PARK, NJ 07650-3152
(703) 231-1882
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
062163
NY
Other
Enumeration date
05/05/2020
Last updated
03/11/2024
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