Kim, Chung K

Kim, Chung K is an individual health care provider with primary practice located at 20 Main St Ste 17 , Windsor Locks CT 06096-2345. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kim, Chung K can be contacted via phone (860) 623-2601.

Contact Information

Primary practice address
20 Main St Ste 17 Windsor Locks CT 06096-2345
Phone: (860) 623-2601
Fax: (860) 370-5467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 009404 Connecticut

Profile Details

NPI number 1548227051
LBN Legal business name Kim, Chung K
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Oct 26th, 2019 - about 5 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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