Individual
DR. BOLAM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E NEWTON ST, G217, BOSTON, MA 02118-2308
(617) 680-9469
Mailing address
35 NORTHAMPTON ST, # 807, BOSTON, MA 02118-4014
(617) 680-9469
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL10750
MA
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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