Organization
DARTMOUTH PERIODONTICS & IMPLANT DENTISTRY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOOWOO KIM D.M.D. (PRESIDENT)
(508) 993-9105
Entity
Organization
Contact information
Practice address
41 STATE RD, NORTH DARTMOUTH, MA 02747-3319
(508) 993-9105
(508) 993-9115
Mailing address
41 STATE RD, NORTH DARTMOUTH, MA 02747-3319
(508) 993-9105
(508) 993-9115
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL22306
MA
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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