Individual
JUNYOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 10TH AVE SW, WAVERLY, IA 50677-3752
(319) 352-5222
Mailing address
1232 LOIS LN, WATERLOO, IA 50702-4243
(469) 426-5433
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-10226
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2024
Last updated
06/28/2024
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