Organization
KYONG H KIM DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYONG H KIM DDS (OWNER)
(803) 528-3383
Entity
Organization
Contact information
Practice address
6941 NORTH TRENHOLM ROAD, COLUMBIA, SC 29206-1715
(803) 743-9894
(803) 743-9896
Mailing address
6941 NORTH TRENHOLM ROAD, COLUMBIA, SC 29206-1715
(803) 743-9894
(803) 743-9896
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
047812
NY
1223G0001X
General Practice Dentistry
39288
CA
1223G0001X
General Practice Dentistry
Primary
4145
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4145
—
SC
Enumeration date
01/23/2007
Last updated
08/22/2020
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