Organization
ISAAC KIM DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC KIM DMD (PERIODONTIST)
(617) 583-0015
Entity
Organization
Contact information
Practice address
131 MAIN ST, WALTHAM, MA 02453-6636
(781) 893-7500
Mailing address
131 MAIN ST, WALTHAM, MA 02453-6636
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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