Individual
DR. AMY JOHNSON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
784 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9297
(630) 289-8899
Mailing address
784 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9297
(630) 289-8899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.028932
IL
1223G0001X
General Practice Dentistry
Primary
50 051926
NY
Other
Enumeration date
04/02/2007
Last updated
10/08/2012
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