Individual provider · Type 1 NPI

Bongok Kim

Prosthodontics · Lincoln, NE

NPI number 1003193152 Active

Practice location

3885 Holdrege St.
Lincoln, NE 68583-0740

Mailing address

Pobox 830740
Lincoln, NE 68583-0740

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700X6993 (NE)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1003193152

Bongok Kim's National Provider Identifier is 1003193152, issued on Nov 3, 2011. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Lincoln, NE. The record was last updated on Nov 3, 2011.