Organization
DONG SAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOOL Y KIM (OWNER)
(801) 277-3406
Entity
Organization
Contact information
Practice address
4568 HIGHLAND DR STE 220, SALT LAKE CITY, UT 84117-4253
(801) 277-3406
Mailing address
4568 HIGHLAND DR #220, SALT LAKE, UT 84117
(801) 277-3406
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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