Individual
DR. EUNGHWAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
40TH AND HOLDREGE, UNMC COLLEGE OF DENTISTRY, LINCOLN, NE 68583-0740
(402) 472-3052
Mailing address
40TH AND HOLDREGE, UNMC COLLEGE OF DENTISTRY, LINCOLN, NE 68583-0740
(402) 472-3052
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
0401410696
VA
1223P0700X
Prosthodontics
Primary
103
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5194
BC/BS
NE
Enumeration date
11/30/2006
Last updated
02/20/2008
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