Kim, Jong Ryul

Kim, Jong Ryul is an sole proprietor health care provider with primary practice located at 3223 N Broad St , Philadelphia PA 19140-5007. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Kim, Jong Ryul can be contacted via phone (215) 707-2900.

Contact Information

Primary practice address
3223 N Broad St Philadelphia PA 19140-5007
Phone: (215) 707-2900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 0401414600 Virginia
Dental Providers / Endodontics 1223E0200X DS041524 Pennsylvania

Profile Details

NPI number 1982008959
LBN Legal business name Kim, Jong Ryul
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2014
Last updated Dec 19th, 2022 - about 2 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.

Request for update

Popular Providers