Individual
DR. JUNG B KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1815 W 13TH STREET, SUITE 7, WILMINGTON, DE 19806
(302) 652-3556
(302) 654-8088
Mailing address
1815 W 13TH STREET, SUITE 7, WILMINGTON, DE 19806-4054
(302) 652-3556
(302) 654-8088
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1049
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001186808
—
DE
01
—
263203
UNITED CONCORDIA
—
Enumeration date
10/12/2006
Last updated
07/08/2007
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