Provider Demographics
NPI:1275844730
Name:KIM, JUNHYCK (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUNHYCK
Middle Name:
Last Name:KIM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:119 1ST ST
Mailing Address - Street 2:SUITE #2
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-1575
Mailing Address - Country:US
Mailing Address - Phone:201-652-7711
Mailing Address - Fax:201-652-7350
Practice Address - Street 1:119 1ST ST
Practice Address - Street 2:SUITE #2
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-1575
Practice Address - Country:US
Practice Address - Phone:201-652-7711
Practice Address - Fax:201-652-7350
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MADN18554381223P0700X
NJ22DI025964001223P0700X
NY057740-11223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics