| NPI | 1669151304 |
|---|---|
| Professional Name | ISAAC KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30.27195) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-04-26 |