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Individual

TAEHWAN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
29 BEAR CREEK BLVD, WILKES BARRE, PA 18702-7803
(570) 825-8090
Mailing address
230 S MAIN ST, PENNINGTON, NJ 08534-2825
(609) 349-8963

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02979800
NJ
122300000X
Dentist
Primary
DS044245
PA

Other

Enumeration date
07/13/2023
Last updated
07/14/2023
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