| NPI | 1285946749 |
|---|---|
| Other Name | CALVIN MIN KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019028417) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 32625) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2017-04-28 |