Ji Won Kim
Ji Won Kim is a Student in an Organized Health Care Education/Training Program in Springfield, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts and New York.
- Licensed in
- MA, NY
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
Springfield, MANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DN1859098 (MA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (NY) |
Record details
| NPI number | 1164004206 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 27, 2021 |
| Last updated in NPPES | July 21, 2021 |
| Certification date | June 2, 2021 |
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