Organization
KYUHO LIM DMD, PC
Active
Other names
Kendall Square Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYUHO LIM DMD (PRESIDENT)
(617) 577-8700
Entity
Organization
Contact information
Practice address
1 KENDALL SQ, BUILDING 300, SUITE 312, CAMBRIDGE, MA 02139-1562
(617) 577-8700
(617) 577-0282
Mailing address
1 BRIARWOOD LN, WINCHESTER, MA 01890-3869
(781) 729-1224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14326
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04614
DELTA DENTAL OF MASS
MA
01
—
X10929KE
BCBS OF MASS
MA
Enumeration date
12/20/2006
Last updated
08/22/2020
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