Individual
DR. SAMUEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3722 CEDAR HEIGHTS DR, CEDAR FALLS, IA 50613-6207
(319) 266-7559
Mailing address
3722 CEDAR HEIGHTS DR, CEDAR FALLS, IA 50613-6207
(319) 266-7559
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1000974-15
WI
122300000X
Dentist
Primary
DDS-09114
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122300000X
—
IA
Enumeration date
07/31/2014
Last updated
05/06/2019
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