Individual
DR. BEOM SEOK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
802 N 9TH ST, SPRINGFIELD, IL 62702-6309
(217) 801-9077
Mailing address
4413 CASTLE PINES DR, SPRINGFIELD, IL 62711-7060
(347) 880-2032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028824
IL
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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