PETER GEUNTAE KIM

BAYSIDE, NY
NPI1811916877
Former NameGEUNTAE KIM
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  047152)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
-- PETER GEUNTAE KIM DDS
4719 BELL BLVD
BAYSIDE, NY 11361-3333
Phone number: 718-224-5576
Mailing Address
-- PETER GEUNTAE KIM DDS
17 KATHLEEN DR
SYOSSET, NY 11791-5808
Phone number: 516-993-9691
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