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Individual

DR. DOIL KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS. MMSC.

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
54534
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
9602
MA

Other

Enumeration date
06/11/2008
Last updated
07/07/2011
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