Most Relevant Information
Provider Data
| NPI Number: | 1003339953 |
| Provider Name: | IRENE T KIM DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0300X |
| Specialty: | Dentist |
| License Number: | 061036 |
Most Important Dates
| Enumeration Date: | 07/24/2017 |
| Last Updated: | 02/25/2021 |
Provider Practice Location
225 E 64TH ST STE 1
NEW YORK
NY
100656684
Practice Location Phone/Fax
| Phone: | 2128380940 |
| Fax: |
Provider Mailing Location
311 E 50TH ST APT 14A
NEW YORK
NY
100227941
Provider Mailing Phone/Fax
| Phone: | 4438130628 |
| Fax: |