Individual
DR. JOHANNE Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
230 POND ST, NATICK, MA 01760-4323
(508) 653-2417
Mailing address
470 COMMONWEALTH RD, WAYLAND, MA 01778-3816
(508) 651-8858
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
19972
MA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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