Individual
SOUNG CHEOUL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
99 KNEELED STREET APT 713, BOSTON, MA 02111
(929) 264-6303
Mailing address
99 KNEELAND ST APT 713, BOSTON, MA 02111-2438
(929) 264-6303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857411
MA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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