Individual
DR. MOO HYUN KIM
Active
Individual
DR. MOO HYUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10206
KY
1223G0001X
General Practice Dentistry
12149
CT
1223G0001X
General Practice Dentistry
9287
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10490
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DB-2023-0206
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
05/06/2016
Last updated
07/24/2023
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