Steven Kim, D.D.S.
Dentist in Waldwick, NJ. Individual provider (NPI-1).
NPI number1164829859
StatusActive
Last updated in NPPESNov 25, 2014
Details
- NPI
- 1164829859
- Entity type
- Individual (NPI-1)
- Name
- Steven Kim
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 25, 2014
- Last updated
- Nov 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 19318 | NJ | Yes |
Practice location
22 Wyckoff AveWaldwick, NJ 07463-1718
Phone 201-447-3210
Mailing address
22 Wyckoff AveWaldwick, NJ 07463-1718
Phone 201-447-3210
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