Individual provider · Type 1 NPI
Edward Kim, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Boston, MA
Practice location
188 Longwood Ave
Boston, MA 02115-5819
Mailing address
75 Saint Alphonsus St, 910
Boston, MA 02120-1676
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DL12041 (MA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1619302940
Edward Kim, DDS's National Provider Identifier is 1619302940, issued on Sep 5, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Boston, MA. The record was last updated on Sep 5, 2013.