Individual
DR. SHAWN SEONGHOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1138 RIVER ST, HYDE PARK, MA 02136-2970
(213) 700-9838
Mailing address
1138 RIVER ST, HYDE PARK, MA 02136
(213) 700-9838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856147
MA
Other
Enumeration date
08/22/2011
Last updated
09/02/2016
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