Organization
DANIEL T. KIM, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL T KIM DDS (OWNER)
(847) 726-8999
Entity
Organization
Contact information
Practice address
519 ELA RD, LAKE ZURICH, IL 60047-2317
(847) 726-8999
Mailing address
519 ELA RD, LAKE ZURICH, IL 60047-2317
(847) 726-8999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019019727
IL
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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