Individual
DR. BENEDICT HEEKYU KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3865 ROCKY RIVER DR, SUITE #6, CLEVELAND, OH 44111-4114
(216) 251-8826
(216) 251-8464
Mailing address
36309 MONTROSE WAY, AVON, OH 44011-3495
(440) 934-0715
(440) 934-0716
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19888
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003072
ASSURANT
IA
01
—
213158
CIGNA HMO
FL
01
—
994487
COMPNET PPO
IL
01
—
J671066
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/27/2006
Last updated
07/08/2007
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