| NPI | 1174690416 |
|---|---|
| Other Name | HENRY KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 64083) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 21262) |
| 122300000X Dentist (Licence: NY 048958) | |
| 1223P0700X Dentist, Prosthodontics (Licence: NJ 5289) | |
| 122300000X Dentist (Licence: FL 18525) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2015-11-11 |