Individual
JUNGHWAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
276 S WEBER RD UNIT D, BOLINGBROOK, IL 60490-1549
(630) 312-8280
Mailing address
491 REBECCA LN, BOLINGBROOK, IL 60440-4852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032642
IL
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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