Individual
MS. MIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15397 WI-32, LAKEWOOD, WI 54138
(715) 276-6321
Mailing address
SCS SHAWANO 1200 ENGEL DRIVE, APT 106, SHAWANO, WI 54166
(479) 871-9656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001567-15
WI
Other
Enumeration date
06/24/2024
Last updated
06/25/2024
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