Individual
MIJUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 WESTERN AVE, #3, SOUTH PORTLAND, ME 04106-2423
(207) 408-0479
(207) 541-9304
Mailing address
85 WESTERN AVE, #3, SOUTH PORTLAND, ME 04106-2423
(207) 408-0479
(207) 541-9304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4315
ME
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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