| NPI | 1093935710 |
|---|---|
| Former Name | SIN D KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MD 13349) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 13349) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2025-08-06 |