| NPI | 1528176252 |
|---|---|
| Other Name | MIA HYUN KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013642) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 7823) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2015-02-17 |