TAE KIM, DDS
Dentist - General Practice
Active
Individual
NPI: 1417504614
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Dentist - General Practice | 1223G0001X | Yes | 22DI02888000 (NJ) |
Frequently Asked Questions
NPI 1417504614 is the National Provider Identifier for TAE KIM, DDS, a Dentist - General Practice provider located in Garwood, NJ. This NPI was enumerated on August 22, 2019.
TAE KIM, DDS practices at 450 SOUTH AVE APT 342, Garwood, NJ 07027.
Quick Facts
- NPI
- 1417504614
- Type
- Individual
- Enumerated
- Aug 22, 2019
- Last Updated
- Aug 15, 2022
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