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Bowon Kim
General Practice Dentistry in Cambridge, Massachusetts
NPI 1275022485

Bowon Kim is a General Practice Dentistry based in Cambridge, MA and is specialized in General Practice. Bowon Kim practices in Cambridge, MA. The NPI Number for Bowon Kim is 1275022485 and holds a License No. (Massachusetts).

The current practice location address for Bowon Kim is 126 Inman St, Cambridge, MA and can be reached out via phone at 617-492-8210.

Location: 126 Inman St, Cambridge, MA, 02141-3007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275022485
Provider Name
Bowon Kim
Credential
Provider Entity Type
Individual
Gender
Female
Address
126 Inman St, Cambridge, MA, 02141-3007
Phone Number
617-492-8210
Fax Number
Provider Enumeration Date
05/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
126 Inman St
City
Cambridge
State
Massachusetts
Zip
02139-1206
Phone Number
617-492-8210
Fax Number
person
Provider Business Mailing Address Details
Address
126 Inman St
City
Cambridge
State
Massachusetts
Zip
02139-1206
Phone Number
617-492-8210
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN1858585 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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