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 |