Jason Donghyun Kim

NPI #1467913863 in Lyndhurst, New Jersey

Provider Information

NPI Number: 1467913863
Entity Type: Individual
Name: Jason Donghyun Kim
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Mar 28, 2019
Last Updated: Aug 27, 2021

Practice Location

Address: 542 NEW YORK AVE
City: Lyndhurst
State: New Jersey
ZIP Code: 07071-1532
Phone: (201) 623-3355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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