Individual
SEO YOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-6547
Mailing address
3728 11TH ST NW, APT A, ALBUQUERQUE, NM 87107
(818) 333-6199
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4649
NM
Other
Enumeration date
09/12/2013
Last updated
03/29/2017
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