Dongyeon Kim

NPI #1295224418 in Union, Missouri

Provider Information

NPI Number: 1295224418
Entity Type: Individual
Name: Dongyeon Kim
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: May 2, 2018
Last Updated: Apr 16, 2023

Practice Location

Address: 1780 OLD HIGHWAY 50 E
City: Union
State: Missouri
ZIP Code: 63084-3219
Phone: (639) 695-6055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Student in an Organized Health Care Education/Training Program	390200000X

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