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1104174168
ELLY BUNSUN KIM
ALBUQUERQUE, NM
NPI
1104174168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM DD3755)
Enumeration Date
2012-08-24
Last Update Date
2012-08-24
Business Address
Dr. ELLY BUNSUN KIM D.D.S.
4201 CENTRAL AVE NW
ALBUQUERQUE, NM 87105-1630
Phone number: 505-843-7172
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Mailing Address
Dr. ELLY BUNSUN KIM D.D.S.
4201 CENTRAL AVE NW
ALBUQUERQUE, NM 87105-1630
Phone number:
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