Individual
THOMAS KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
652 LAFAYETTE RD, SEABROOK, NH 03874-4345
(603) 760-7119
Mailing address
20722 JORDAN DR, BAYSIDE, NY 11360-1183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
04878
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2023
Last updated
08/21/2023
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