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Individual

DR. HANA ANGELA KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2900 S PEORIA ST STE A, AURORA, CO 80014-3182
(303) 368-3636
(303) 368-3631
Mailing address
2900 S PEORIA ST STE A, AURORA, CO 80014-3182
(303) 368-3636
(303) 368-3631

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00202980
CO
1223G0001X
General Practice Dentistry
59646
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08155062
CO
05
1720393846
CO
Enumeration date
08/12/2010
Last updated
04/12/2018
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