Individual
SOYOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
55 SACK BLVD, LEOMINSTER, MA 01453-3325
(978) 466-6800
Mailing address
27 CORTLAND WAY, GRAFTON, MA 01519-1093
(508) 395-7833
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03191
RI
122300000X
Dentist
DN1856371
MA
Other
Enumeration date
08/08/2013
Last updated
11/13/2013
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