Individual
CHULHWAN J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11 MOUNTAIN AVE, SUITE 107, BLOOMFIELD, CT 06002-2343
(860) 242-1044
(860) 242-8568
Mailing address
11 MOUNTAIN AVE, SUITE 107, BLOOMFIELD, CT 06002-2343
(860) 242-1044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9483
CT
Other
Enumeration date
10/25/2006
Last updated
07/01/2014
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