WOOSOL KIM

BARKSDALE AFB, LA
NPI1871979427
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  33132)
Additional Taxonomies122300000X Dentist
(Licence: VA  0401414964)
Enumeration Date2015-08-05
Last Update Date2024-07-15
Business Address
WOOSOL KIM D.M.D
1067 TWINING DR
BARKSDALE AFB, LA 71110-2486
Phone number: 318-456-6718
Mailing Address
WOOSOL KIM D.M.D
1067 TWINING DR
BARKSDALE AFB, LA 71110-2486
Phone number: 609-754-3786
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