Individual
JEANNIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
36 CHAUNCY ST, BOSTON, MA 02111-2209
(617) 338-5000
Mailing address
350 HARRISON AVE UNIT 708, BOSTON, MA 02118-3866
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000159
MA
Other
Enumeration date
03/27/2023
Last updated
09/06/2024
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