ADRIAN KANG-SAN KIM

CHAMPAIGN, IL
NPI1154172732
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-01
Last Update Date2024-04-01
Business Address
ADRIAN KANG-SAN KIM DMD
303 W SPRINGFIELD AVE
CHAMPAIGN, IL 61820-4817
Phone number: 217-356-3335
Mailing Address
ADRIAN KANG-SAN KIM DMD
470 FAWELL BLVD APT 116
GLEN ELLYN, IL 60137-6785
Phone number:
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