Individual
ISAAC KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
21 OLD POINT AVE, MADISON, ME 04950-1114
(207) 696-4681
Mailing address
32 GOLD ST, WATERVILLE, ME 04901-5919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4902
ME
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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