Individual
WOOSOL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1067 TWINING DR, BARKSDALE AFB, LA 71110-2486
(318) 456-6718
Mailing address
1067 TWINING DR, BARKSDALE AFB, LA 71110-2486
(609) 754-3786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401414964
VA
122300000X
Dentist
Primary
33132
TX
Other
Enumeration date
08/05/2015
Last updated
07/15/2024
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