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Organization
EVERBREEZE DENTAL LLC
Active
Organization
EVERBREEZE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL KIM DDS (DENTIST)
(712) 297-4560
Entity
Organization
Contact information
Practice address
4333 NAKOMA RD, MADISON, WI 53711-3700
(712) 297-4560
Mailing address
4324 PADDINGTON DR, CEDAR FALLS, IA 50613-8917
(712) 297-4560
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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