Individual
ALTAN KIHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 KEELAND ST, BOSTON, MA 02111
(617) 636-3898
Mailing address
50 REBECCA LN, SAN FRANCISCO, CA 94124-1726
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
35448
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122300000X
—
CA
Enumeration date
06/28/2017
Last updated
07/26/2019
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