Individual provider · Type 1 NPI

Sungwon Kim, DMD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1477129294 Active

Practice location

1 Boston Medical Ctr Pl
Boston, MA 02118-2908

Call (617) 414-7558 Map

Mailing address

1085 Boylston St # 504
Boston, MA 02215-3665

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1477129294

Sungwon Kim, DMD's National Provider Identifier is 1477129294, issued on Jun 2, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jun 7, 2021.