Kim, Jin Koo
Kim, Jin Koo is an individual health care provider with primary practice located at 19 Demarco Rd , Sudbury MA 01776-2019. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kim, Jin Koo can be contacted via phone (339) 221-3692.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22255 | Massachusetts |
Profile Details
| NPI number | 1306002480 |
|---|---|
| LBN Legal business name | Kim, Jin Koo |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2008 |
| Last updated | Sep 20th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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