Jeffrey Kim LLC
Dentist in Middletown, NY. Organization (NPI-2).
NPI number1992939441
StatusActive
Last updated in NPPESMay 13, 2009
Details
- NPI
- 1992939441
- Entity type
- Organization (NPI-2)
- Legal business name
- Jeffrey Kim LLC
- Organization subpart
- No
- Enumeration date
- May 13, 2009
- Last updated
- May 13, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 044694 | NY | Yes |
Practice location
400 Midway Park DrMiddletown, NY 10940-2656
Phone 845-344-4336
Mailing address
400 Midway Park DrMiddletown, NY 10940-2656
Phone 845-344-4336
Authorized official
Jeffrey Kim
Owner
8453444336
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