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Seungyeon Kim, DDS

Dentist, General Practice in Long Island City, NY. Individual provider (NPI-1).

NPI number1164067153
StatusActive
Last updated in NPPESNov 30, 2024

Details

NPI
1164067153
Entity type
Individual (NPI-1)
Name
Seungyeon Kim
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Nov 13, 2019
Certification date
Nov 30, 2024
Last updated
Nov 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice41040TXYes
1223G0001X Dentist, General Practice062411NY

Practice location

4310 Crescent St Apt 2817
Long Island City, NY 11101-4284

Phone 714-234-8374

Mailing address

4310 Crescent St Apt 2817
Long Island City, NY 11101-4284

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