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Byounggon Kim
NPI 1396909875 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2224 S 20th St
Philadelphia, PA 19145 - Phone
- (215) 465-6061
- Fax
- (215) 465-0549
- Organisation at this address
- South Philadelphia Dental Associates
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania