DR. Maria Wong Kim, D.M.D.

NPI #1992886592 in Hazelwood, Missouri

Provider Information

NPI Number: 1992886592
Entity Type: Individual
Name: DR. Maria Wong Kim, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Oct 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6309 HAZELWEST CT
City: Hazelwood
State: Missouri
ZIP Code: 63042-1739
Phone: (314) 731-1688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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