Kim, Wonkyong

Kim, Wonkyong is an individual health care provider with primary practice located at 1909 Pine Ave , Niagara Falls NY 14301-2309. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kim, Wonkyong can be contacted via phone (716) 282-4641.

Contact Information

Primary practice address
1909 Pine Ave Niagara Falls NY 14301-2309
Phone: (716) 282-4641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 048670-1 New York

Profile Details

NPI number 1073502373
LBN Legal business name Kim, Wonkyong
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073502373 NPPES
New York MEDICAID 02138232

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