DR. Elly Bunsun Kim, D.D.S.
NPI #1104174168 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1104174168
- Entity Type
- Individual
- Name
- DR. Elly Bunsun Kim, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Aug 24, 2012
- Last Updated
- Aug 24, 2012
Practice Location
- Address
- 4201 CENTRAL AVE NW
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87105-1630
- Phone
- (505) 843-7172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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