Individual
SAMUEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
725 RIVER RD, 53, EDGEWATER, NJ 07020-1171
(201) 943-4000
Mailing address
2101 AVENEL BLVD, NORTH WALES, PA 19454-3946
(267) 342-4409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02578100
NJ
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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