NPI | 1851027254 |
---|---|
Other Name | KEVIN KB KIM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE61172402) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019.033884) |
Enumeration Date | 2022-07-27 |
Last Update Date | 2022-07-27 |