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Organization

FAMILY DENTISTRY- DR. YOOSON KIM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YOOSON E KIM DMD (OWNER)
(610) 286-0312
Entity
Organization

Contact information

Practice address
935 HERITAGE DR, ELVERSON, PA 19520-9324
(610) 286-0312
Mailing address
3411 MAIN ST, MORGANTOWN, PA 19543-7748
(610) 286-0312

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023088408
NPI
PA
Enumeration date
03/17/2020
Last updated
12/16/2022
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