Jong Ryul Kim
Jong Ryul Kim is an Endodontics in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania and Virginia.
- Licensed in
- PA, VA
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
3223 N Broad StPhiladelphia, PA 19140-5007
Phone: (215) 707-2900
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Specialties & licences
| Endodontics (primary) | Taxonomy 1223E0200X · Licence DS041524 (PA) |
|---|---|
| Endodontics | Taxonomy 1223E0200X · Licence 0401414600 (VA) |
Record details
| NPI number | 1982008959 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 20, 2014 |
| Last updated in NPPES | December 19, 2022 |
| Certification date | December 19, 2022 |
| Mailing address | 3223 N Broad St, Philadelphia, PA 19140-5007 |
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