Individual
NICHOLAS S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
180 ELSBREE ST, FALL RIVER, MA 02720-7212
(508) 672-1069
Mailing address
180 ELSBREE ST, FALL RIVER, MA 02720-7212
(508) 672-1069
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1859729
MA
208600000X
Surgery Physician
1016683
MA
Other
Enumeration date
10/28/2019
Last updated
03/20/2024
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