Individual
REBEKAH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
636 BROADWAY ST NE, MINNEAPOLIS, MN 55413-2164
(612) 746-1530
Mailing address
64 BEDFORD ST SE APT 4, MINNEAPOLIS, MN 55414-3550
(651) 399-6336
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13396
MN
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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