Sung Rae Kim
Sung Rae Kim is a Prosthodontics in Closter, New Jersey. Practices as a sole proprietor. Licensed in New Jersey and New York.
- Licensed in
- NJ, NY
- In the registry since
- 2014
- Specialties on file
- 3
Practice location Address checks out
570 Piermont Rd Ste C1Closter, NJ 07624-3100 Not confirmed with CMS for 12 years — call before visiting
Phone: (201) 666-2828
Fax: (201) 750-2314
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthodontics (primary) | Taxonomy 1223P0700X · Licence DI19751 (NJ) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 22DI01975100 (NJ) |
| Dentist | Taxonomy 122300000X · Licence 047461-1 (NY) |
Record details
| NPI number | 1679995955 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 6, 2014 |
| Last updated in NPPES | January 6, 2014 |
Other providers in Closter
-
Closter Dental PC
570 Piermont Rd #C1, Closter, NJ 07624 · (201) 666-2828