Organization
HANNAH KIM DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANNAH H KIM DDS (PRESIDENT)
(224) 444-8358
Entity
Organization
Contact information
Practice address
895 E GRAND AVE UNIT 1, LAKE VILLA, IL 60046-7883
(224) 444-8358
Mailing address
895 E GRAND AVE UNIT 1, LAKE VILLA, IL 60046-7883
(224) 444-8358
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025464
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166805
—
IL
Enumeration date
11/02/2016
Last updated
11/02/2016
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