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Individual
DR. SARA KIM
Active
Individual
DR. SARA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019030848
IL
122300000X
Dentist
Primary
060161
NY
Other
Enumeration date
07/14/2016
Last updated
01/07/2019
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