Individual
DR. NELLIE KIM-WEROHA
Active
Individual
DR. NELLIE KIM-WEROHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D12483
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2004013591
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D12483
MN
Other
Enumeration date
04/04/2007
Last updated
06/20/2023
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