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Organization
IK PERIO PLLC
Active
Organization
IK PERIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAAC KIM DMD (OWNER PERIODONTIST)
(617) 583-0015
Entity
Organization
Contact information
Practice address
131 MAIN ST, WALTHAM, MA 02453-6636
(781) 647-0618
Mailing address
131 MAIN ST, WALTHAM, MA 02453-6636
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2026
Last updated
09/03/2026
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