| David Tae Kim, D.d.s. | |
|
16114 Northern Blvd 2nd Floor Flushing NY 11358-1633 | |
| (718) 762-7006 | |
| (718) 445-4518 |
| Full Name | David Tae Kim, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16114 Northern Blvd, Flushing, New York |
| Authorized Official Name and Position | Hannah Kim (OFFICE MANAGER) |
| Authorized Official Contact | 7187627006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Tae Kim, D.d.s. 16114 Northern Blvd 2nd Floor Flushing NY 11358-1633 Ph: (718) 762-7006 | David Tae Kim, D.d.s. 16114 Northern Blvd 2nd Floor Flushing NY 11358-1633 Ph: (718) 762-7006 |
| NPI Number | 1033262274 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 09/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033262274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 040283-1 (New York) | Primary |
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