Individual
DR. DONG WON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
133 MARKET ST, LOWELL, MA 01852-1808
(978) 458-1179
(978) 805-1415
Mailing address
3600 MYSTIC VALLEY PKWY, APT # 709, MEDFORD, MA 02155-5733
(781) 393-4830
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21536
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207110
—
MA
Enumeration date
04/02/2007
Last updated
01/26/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us