Individual
YONG SOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4700
Mailing address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4700
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL 10741
MA
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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