Individual
DR. SOO-WOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., D.M.SC. M.S.
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
55 JUNE LN, NEWTON, MA 02459-3611
(617) 309-9701
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22306
MA
1223P0300X
Periodontics
DN22306
MA
Other
Enumeration date
08/20/2008
Last updated
05/30/2016
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