| Caleb & Tyler Kim Dds Llc | |
|
119 1st St Suite #2 Ho Ho Kus NJ 07423-1575 | |
| (201) 652-7711 | |
| (201) 652-7350 |
| Full Name | Caleb & Tyler Kim Dds Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 119 1st St, Ho Ho Kus, New Jersey |
| Authorized Official Name and Position | Junhyck Kim (PRINCIPAL) |
| Authorized Official Contact | 2016527711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caleb & Tyler Kim Dds Llc 119 1st St Suite #2 Ho Ho Kus NJ 07423-1575 Ph: (201) 652-7711 | Caleb & Tyler Kim Dds Llc 119 1st St Suite #2 Ho Ho Kus NJ 07423-1575 Ph: (201) 652-7711 |
| NPI Number | 1124483250 |
|---|---|
| Provider Enumeration Date | 12/16/2015 |
| Last Update Date | 12/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124483250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22DI02489100 (New Jersey) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 22DI02596400 (New Jersey) | Primary |
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