Individual
DR. MIN JUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
340 MAPLE STREET, #210, MARLBOROUGH, MA 01752
(508) 480-9299
(508) 480-9979
Mailing address
340 MAPLE STREET, #210, MARLBOROUGH, MA 01752
(508) 480-9299
(508) 480-9979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20265
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9763210
—
MA
Enumeration date
11/15/2006
Last updated
10/30/2014
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