Individual
DR. YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 KNEELAND ST, DEPARTMENT OF PERIODONTOLOGY, TUFTS DENTAL SCHOOL, BOSTON, MA 02111-1527
(617) 292-4389
Mailing address
82 SUMMER ST, #304, MALDEN, MA 02148-2566
(339) 224-1213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL11096
MA
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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