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Individual

CARA DABIN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
232 MAIN ST, WOODSTOCK, IL 60098-3214
(815) 338-7569
Mailing address
4945 KELLER ST APT 301, LISLE, IL 60532-1629

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.035076
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/15/2024
Last updated
05/31/2024
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