Individual
DR. JUNG-WAN MARTIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSC, DMD
Contact information
Practice address
515 DELAWARE STREET SE, 7-360 MOOS HEALTH SCIENCE TOWER, MINNEAPOLIS, MN 55455
(612) 625-6177
(612) 626-2652
Mailing address
515 DELAWARE STREET SE, 7-360 MOOS HEALTH SCIENCE TOWER, MINNEAPOLIS, MN 55455
(612) 625-6177
(612) 626-2652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12492
MN
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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