Individual
MARIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
51 W KINGS HWY, MOUNT EPHRAIM, NJ 08059-1304
(828) 455-7566
Mailing address
621 16TH AVE SE, HICKORY, NC 28602-8324
(828) 455-7566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040816
PA
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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