| Ik Perio PLLC | |
|
131 Main St Waltham MA 02453-6636 | |
| (781) 647-0618 | |
| Not Available |
| Full Name | Ik Perio PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 131 Main St, Waltham, Massachusetts |
| Authorized Official Name and Position | Isaac Kim (OWNER PERIODONTIST) |
| Authorized Official Contact | 6175830015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ik Perio PLLC 131 Main St Waltham MA 02453-6636 | Ik Perio PLLC 131 Main St Waltham MA 02453-6636 Ph: (781) 647-0618 |
| NPI Number | 1780593863 |
|---|---|
| Provider Enumeration Date | 09/03/2026 |
| Last Update Date | 09/24/2026 |
| Certification Date | 09/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780593863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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