| NPI | 1104075464 |
|---|---|
| Former Name | NARA KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 41003) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 053957) |
| 1223G0001X Dentist, General Practice (Licence: GA DN122948) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2024-10-09 |