Individual
DR. SUNG KYUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3808 N LAWNDALE AVE, INDIANAPOLIS, IN 46254-2814
(317) 297-4502
Mailing address
3808 N LAWNDALE AVE, INDIANAPOLIS, IN 46254-2814
(317) 297-4502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.032277
IL
1223G0001X
General Practice Dentistry
Primary
12013227A
IN
Other
Enumeration date
07/05/2019
Last updated
01/19/2022
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