Individual
DR. MICHELLE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
180 LINCOLN ST STE 2A, BOSTON, MA 02111-2400
(617) 338-0833
Mailing address
1 NASSAU ST APT 907, BOSTON, MA 02111-1554
(617) 631-7380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859882
MA
Other
Enumeration date
06/14/2023
Last updated
10/02/2023
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