Individual
KIEUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 E MAIN ST, NORTHBOROUGH, MA 01532-1662
(508) 206-9676
Mailing address
1510 STADIUM WAY APT 275, INDIANAPOLIS, IN 46202-2103
(720) 757-1727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859073
MA
Other
Enumeration date
05/19/2021
Last updated
08/12/2021
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