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Individual

DR. MARIA WONG KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
6309 HAZELWEST CT, HAZELWOOD, MO 63042-1739
(314) 731-1688
(314) 731-7938
Mailing address
6309 HAZELWEST CT, HAZELWOOD, MO 63042-1739
(314) 731-1688
(314) 731-7938

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14246
MO

Other

Enumeration date
10/18/2006
Last updated
07/08/2007
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