Kim, Si Yeon

Kim, Si Yeon is an individual health care provider with primary practice located at 83 Park St , Montclair NJ 07042-3465. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kim, Si Yeon can be contacted via phone (301) 272-7512.

Contact Information

Primary practice address
83 Park St Montclair NJ 07042-3465
Phone: (301) 272-7512
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22DI02900700 New Jersey

Profile Details

NPI number 1912633868
LBN Legal business name Kim, Si Yeon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2022
Last updated Jul 25th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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