| Dr. Dongwon Kim PC | |
|
542 River St Mattapan MA 02126-3014 | |
| (617) 322-9773 | |
| Not Available |
| Full Name | Dr. Dongwon Kim PC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 542 River St, Mattapan, Massachusetts |
| Authorized Official Name and Position | Dong Won Kim (DMD) |
| Authorized Official Contact | 5088219041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Dongwon Kim PC 542 River St Mattapan MA 02126-3014 Ph: (617) 322-9773 | Dr. Dongwon Kim PC 542 River St Mattapan MA 02126-3014 Ph: (617) 322-9773 |
| NPI Number | 1740955723 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 08/12/2021 |
| Certification Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740955723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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