Individual
DR. RICHARD YONGYUP KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1838 S 15TH STREET, MILWAUKEE, WI 53204
(414) 455-8805
Mailing address
95-1050 MAKAIKAI ST APT 8K, MILILANI, HI 96789-4318
(213) 550-3530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.031953
IL
122300000X
Dentist
Primary
1001209-15
WI
122300000X
Dentist
41631
CA
122300000X
Dentist
DT-2535
HI
Other
Enumeration date
04/10/2007
Last updated
10/29/2024
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