Organization
NORTHAMPTON FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHULHWAN JAKE KIM D.M.D. (OWNER)
(617) 869-0000
Entity
Organization
Contact information
Practice address
69 BRIDGE ST, NORTHAMPTON, MA 01060-2402
(413) 584-1722
(413) 584-5835
Mailing address
69 BRIDGE ST, NORTHAMPTON, MA 01060-2402
(413) 584-1722
(413) 584-5835
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22064
MA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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