Individual
KYEONGHWA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1825 W MCGALLIARD RD, MUNCIE, IN 47304-2210
(317) 645-8565
Mailing address
909 FAYETTE ST, INDIANAPOLIS, IN 46202-3018
(317) 645-8565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013179A
IN
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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