Individual
ROY JUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
555 STATE ST, SPRINGFIELD, MA 01109-4101
(413) 736-0027
Mailing address
1440 RIVERDALE ST, APT. C3, WEST SPRINGFIELD, MA 01089-4642
(714) 615-7869
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856073
MA
Other
Enumeration date
07/18/2012
Last updated
08/07/2012
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