Individual
DR. SUNG HO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1001 CHESTERFIELD PKWY E STE 202, CHESTERFIELD, MO 63017-2167
(636) 532-2228
Mailing address
7125 N DURANGO DR, LAS VEGAS, NV 89149-4466
(415) 828-8875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2015040188
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
S3-335C
NV
Other
Enumeration date
02/05/2016
Last updated
10/21/2019
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