| Isaac Kim DDS | |
|
131 Main St Waltham MA 02453-6636 | |
| (781) 893-7500 | |
| Not Available |
| Full Name | Isaac Kim DDS |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 131 Main St, Waltham, Massachusetts |
| Authorized Official Name and Position | Isaac Kim (PERIODONTIST) |
| Authorized Official Contact | 6175830015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isaac Kim DDS 131 Main St Waltham MA 02453-6636 | Isaac Kim DDS 131 Main St Waltham MA 02453-6636 Ph: (781) 893-7500 |
| NPI Number | 1124819057 |
|---|---|
| Provider Enumeration Date | 05/12/2025 |
| Last Update Date | 09/24/2026 |
| Certification Date | 09/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124819057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | () | Primary |
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