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Individual
MINJUNG KIM
Active
Individual
MINJUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN03886
RI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
NA
PA
Other
Enumeration date
05/29/2024
Last updated
08/06/2026
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