Individual
DR. MIN SOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4260 WESTBROOK DR STE 105, AURORA, IL 60504-8136
(630) 851-0450
Mailing address
2701 N DIRKSEN PKWY, SPRINGFIELD, IL 62702-1407
(217) 814-0407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012332A
IN
Other
Enumeration date
06/12/2015
Last updated
02/01/2024
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