DR. Diana Kim, DDS
NPI #1578295556 in Mohegan Lake, New York
Provider Information
- NPI Number
- 1578295556
- Entity Type
- Individual
- Name
- DR. Diana Kim, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 28, 2022
- Last Updated
- Aug 4, 2023
Practice Location
- Address
- 3130 E MAIN ST STE 200
- City
- Mohegan Lake
- State
- New York
- ZIP Code
- 10547-1517
- Phone
- (845) 284-6296
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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Organizations
| Provider Name | |
|---|---|
| Advanced Aesthetic Dentistry |
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