MICHAEL ETHAN KIM

OAKLAND GARDENS, NY
NPI1295810554
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  053099)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
Dr. MICHAEL ETHAN KIM D.M.D.
5322 FRANCIS LEWIS BLVD 2ND FLOOR
OAKLAND GARDENS, NY 11364-1633
Phone number: 201-575-1153
Mailing Address
Dr. MICHAEL ETHAN KIM D.M.D.
PO BOX 455
PALISADES PARK, NJ 07650-0455
Phone number: 201-575-1153
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