Min Jung Kim
Dentist, Pediatric Dentistry in New York, NY. Individual provider (NPI-1).
NPI number1083116156
StatusActive
Last updated in NPPESApr 4, 2022
Details
- NPI
- 1083116156
- Entity type
- Individual (NPI-1)
- Name
- Min Jung Kim
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2018
- Certification date
- Apr 4, 2022
- Last updated
- Apr 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 22DI02791400 | NJ | Yes |
| 1223P0221X | Dentist, Pediatric Dentistry | 061567 | NY |
Practice location
220 Madison Ave Ste ANew York, NY 10016-3422
Phone 212-880-2222
Mailing address
900 Ave At Port Imperial Blvd Apt 709Weehawken, NJ 07086-6106
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All 204 Pediatric Dentistry providers in New York · All 116,115 providers in New York
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