Organization
SHALOM DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIN K KIM DMD (OWNER)
(339) 221-3692
Entity
Organization
Contact information
Practice address
418 MASSACHUSETTS AVE STE 5, ACTON, MA 01720-3723
(339) 221-3692
Mailing address
19 DEMARCO RD, SUDBURY, MA 01776-2019
(339) 221-3692
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22255
MA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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