Individual
SU JUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 RESEARCH DR, WOODBRIDGE, CT 06525-2348
(203) 409-2535
Mailing address
111 PARK ST APT 12T, NEW HAVEN, CT 06511-5421
(929) 400-2023
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12936
CT
Other
Enumeration date
06/24/2019
Last updated
07/02/2022
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