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Tae Keun Kim, DDS
General Practice Dentistry in Garwood, New Jersey
NPI 1417504614

Tae Keun Kim is a General Practice Dentistry based in Garwood, NJ and is specialized in General Practice. Tae Keun Kim practices in Garwood, NJ and has the professional credentials of DDS. The NPI Number for Tae Keun Kim is 1417504614 and holds a License No. (New Jersey).

The current practice location address for Tae Keun Kim is 450 South Ave Apt 342, Garwood, NJ and can be reached out via phone at 213-604-5723.

Location: 450 South Ave Apt 342, Garwood, NJ, 07027-1285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417504614
Provider Name
Tae Keun Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
450 South Ave Apt 342, Garwood, NJ, 07027-1285
Phone Number
213-604-5723
Fax Number
Provider Enumeration Date
08/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
450 South Ave Apt 342
City
Garwood
State
New Jersey
Zip
07027-1285
Phone Number
213-604-5723
Fax Number
person
Provider Business Mailing Address Details
Address
450 South Ave Apt 342
City
Garwood
State
New Jersey
Zip
07027-1285
Phone Number
213-604-5723
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22DI02888000 (New Jersey)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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