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1134641061
JEONGHOON KIM
BOSTON, MA
NPI
1134641061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-07-12
Last Update Date
2017-07-12
Business Address
JEONGHOON KIM Dentist
100 E NEWTON ST # G-706
BOSTON, MA 02118-2308
Phone number: 617-638-4683
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Mailing Address
JEONGHOON KIM Dentist
167 NEWBURY ST FL 3
BOSTON, MA 02116-2834
Phone number: 617-638-4683
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