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1184153561
RENEE ROSA KIM
NEW HAVEN, CT
NPI
1184153561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-06-08
Last Update Date
2022-07-21
Business Address
Dr. RENEE ROSA KIM DMD
789 HOWARD AVE
NEW HAVEN, CT 06510
Phone number: 203-688-2464
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Mailing Address
Dr. RENEE ROSA KIM DMD
789 HOWARD AVE
NEW HAVEN, CT 06519-1304
Phone number: 203-688-2464
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