Alisa Kim, D.M.D.

NPI #1053540526 in Brockport, New York

Provider Information

NPI Number
1053540526
Entity Type
Individual
Name
Alisa Kim, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Jul 6, 2009
Last Updated
Dec 14, 2012

Practice Location

Address
300 WEST AVE
ZIP Code
14420-1118
Phone
(585) 637-3905

Specialties & Taxonomy Codes

Specialty
Dentist

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