DR. Tae Yon Kim, D.D.S.

NPI #1619293958 in Commack, New York

Provider Information

NPI Number: 1619293958
Entity Type: Individual
Name: DR. Tae Yon Kim, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 12, 2010
Last Updated: Sep 22, 2010

Practice Location

Address: 6080 JERICHO TPKE
Address 2: SUITE 207
City: Commack
State: New York
ZIP Code: 11725-2850
Phone: (631) 499-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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