| NPI | 1740642826 |
|---|---|
| Former Name | JULIA KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 060400) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901022044) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2024-09-18 |