Individual
DR. BONGSU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2501 E MAIN ST, SPRINGFIELD, OH 45503-4915
(937) 817-1000
Mailing address
4528 CARRIAGE HILL LN, UPPER ARLINGTON, OH 43220-3802
(614) 579-4853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.027502
OH
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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