Individual
DR. ALICIA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
651 SQUIRE RD, REVERE, MA 02151-1866
(781) 289-3331
Mailing address
110 BEVERLY ST APT 706, BOSTON, MA 02114-2296
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858864
MA
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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