Individual
EUNLIM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72 OMEGA DR BLDG D, NEWARK, DE 19713-2063
(302) 738-3666
Mailing address
72 OMEGA DR BLDG D, NEWARK, DE 19713-2063
(302) 738-3666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS043372
PA
1223G0001X
General Practice Dentistry
Primary
G1-0011515
DE
Other
Enumeration date
07/05/2022
Last updated
09/02/2022
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