DR. Peter Kim, DDS
NPI #1114002953 in Libertyville, Illinois
Provider Information
- NPI Number
- 1114002953
- Entity Type
- Individual
- Name
- DR. Peter Kim, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1109 WEST PARK AVE
- City
- Libertyville
- State
- Illinois
- ZIP Code
- 60048
- Phone
- (847) 367-1133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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