Eliza Kim, DMD

NPI #1568081925 in Bolingbrook, Illinois

Provider Information

NPI Number: 1568081925
Entity Type: Individual
Name: Eliza Kim, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Apr 15, 2020
Last Updated: Aug 30, 2021

Practice Location

Address: 210 N BOLINGBROOK DR
City: Bolingbrook
State: Illinois
ZIP Code: 60440-2386
Phone: (630) 972-4010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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