Provider Demographics
NPI:1063148344
Name:ESTHER Y KIM DDS PPLC
Entity type:Organization
Organization Name:ESTHER Y KIM DDS PPLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-718-0011
Mailing Address - Street 1:51 WINTERBERRY WAY
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1573
Mailing Address - Country:US
Mailing Address - Phone:410-718-0011
Mailing Address - Fax:
Practice Address - Street 1:76 ALLDS ST STE 6
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-4704
Practice Address - Country:US
Practice Address - Phone:410-718-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental