Bowon Kim
Bowon Kim is a Student in an Organized Health Care Education/Training Program in Cambridge, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
Cambridge, MANo coordinates on file. Search this address in Google Maps
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DN1858585 (MA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1275022485 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 2, 2018 |
| Last updated in NPPES | February 25, 2021 |
| Certification date | February 25, 2021 |
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