Kim, Soo-Woo

Kim, Soo-Woo is an sole proprietor health care provider with primary practice located at 188 Longwood Ave , Boston MA 02115-5819. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Dentist is his primary health care specialty. Kim, Soo-Woo can be contacted via phone (617) 432-1434.

Contact Information

Primary practice address
188 Longwood Ave Boston MA 02115-5819
Phone: (617) 432-1434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22306 Massachusetts
Dental Providers / Periodontics 1223P0300X DN22306 Massachusetts

Profile Details

NPI number 1710134812
LBN Legal business name Kim, Soo-Woo
Credentials D.M.D., D.M.SC. M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2008
Last updated May 30th, 2016 - about 8 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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