Individual
DR. HYEONGU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0002
(860) 679-2000
Mailing address
15 FARM SPRINGS RD APT 134, FARMINGTON, CT 06032-2588
(204) 891-0169
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14516
CT
Other
Enumeration date
07/07/2025
Last updated
07/21/2025
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