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Individual
MR. BEOMJUNE B KIM
Active
Individual
MR. BEOMJUNE B KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD, FACS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
88953
GA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
34607
OK
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD.205951
LA
207YS0123X
Facial Plastic Surgery Physician
34607
OK
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
34607
OK
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
88953
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88953
GA MEDICAL LICENSE
GA
Enumeration date
05/07/2008
Last updated
08/24/2021
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