Douglas Kim Dmd Pc | |
570 Piermont Rd Ste C1 Closter NJ 07624-3100 | |
(201) 245-4362 | |
Not Available |
Full Name | Douglas Kim Dmd Pc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 570 Piermont Rd Ste C1, Closter, New Jersey |
Authorized Official Name and Position | Douglas Kim (PRESIDENT) |
Authorized Official Contact | 2012454362 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Douglas Kim Dmd Pc Po Box 663 Alpine NJ 07620-0663 Ph: () - | Douglas Kim Dmd Pc 570 Piermont Rd Ste C1 Closter NJ 07624-3100 Ph: (201) 245-4362 |
NPI Number | 1952186967 |
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Provider Enumeration Date | 08/28/2023 |
Last Update Date | 09/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952186967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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