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Search › Massachusetts › 122300000X

Ji Won Kim

NPI 1164004206 · on the registry since 2021 · sole proprietor

Practice

Address
555 State St
Springfield, MA 01109
Phone
(312) 768-0965
Organisation at this address
Dental Dreams Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
Licence states on file
NY, MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts