Individual
SARAH SO YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 STANIFORD ST STE 303, BOSTON, MA 02114-2542
(617) 648-9403
Mailing address
4 LONGFELLOW PL APT 1804, BOSTON, MA 02114-2815
(484) 786-3140
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN1859037
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2021
Last updated
09/15/2021
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