Daniel D. Kim, D.D.S., LLC
Clinic/Center, Emergency Care in Ridgefield, NJ. Organization (NPI-2).
NPI number1114347192
StatusActive
Last updated in NPPESApr 24, 2014
Details
- NPI
- 1114347192
- Entity type
- Organization (NPI-2)
- Legal business name
- Daniel D. Kim, D.D.S., LLC
- Organization subpart
- No
- Enumeration date
- Apr 17, 2014
- Last updated
- Apr 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0002X | Clinic/Center, Emergency Care | 22DI02255900 | NJ | Yes |
Practice location
321 Broad Ave#5
Ridgefield, NJ 07657-2346
Phone 201-313-2277 · Fax 201-496-6124
Mailing address
321 Broad Ave#5
Ridgefield, NJ 07657-2346
Phone 201-313-2277 · Fax 201-496-6124
Authorized official
Dongkyun Kim
Clinical Director
2013132277
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