Organization
GINA KIM DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA KIM DDS (DENTIST)
(773) 592-5562
Entity
Organization
Contact information
Practice address
2833 N MILWAUKEE AVE, CHICAGO, IL 60618-7403
(773) 772-8400
Mailing address
3748 N ASHLAND AVE, 2N, CHICAGO, IL 60613
(773) 592-5562
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026234
IL
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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