Individual
DR. MINJE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1500 WALNUT ST STE 600, PHILADELPHIA, PA 19102-3516
(215) 732-1403
Mailing address
4111 WALNUT ST APT 609, PHILADELPHIA, PA 19104-3538
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS042168
PA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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