Individual
YOO RA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 MYRTLE ST, NEW BRITAIN, CT 06051
(860) 356-0758
Mailing address
105 MYRTLE ST, NEW BRITAIN, CT 06051-3593
(888) 920-2072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11020
CT
1223G0001X
General Practice Dentistry
Primary
11020
CT
Other
Enumeration date
08/08/2013
Last updated
09/27/2013
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