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1083264436
TAEWAN JOHN KIM
PHILADELPHIA, PA
NPI
1083264436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: PA DS041978)
Enumeration Date
2019-09-18
Last Update Date
2019-09-18
Business Address
Dr. TAEWAN JOHN KIM DDS
240 S 40TH ST
PHILADELPHIA, PA 19104-6030
Phone number: 404-372-4882
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Mailing Address
Dr. TAEWAN JOHN KIM DDS
3737 CHESTNUT ST APT 805
PHILADELPHIA, PA 19104-7708
Phone number: 404-372-4882
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