NPI Index

DR. DONGSOO KIM, DMD, MD

Oral & Maxillofacial Surgery

Active Individual
NPI: 1821016957

Practice Address

1501 KINGS HWY
DEPARTMENT OF ORAL SURGERY
Shreveport, LA 71103

Phone: (318) 813-2625

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X No 5542 (LA)
Oral & Maxillofacial Surgery 204E00000X Yes 15055R (LA)

Frequently Asked Questions

NPI 1821016957 is the National Provider Identifier for DR. DONGSOO KIM, DMD, MD, a Oral & Maxillofacial Surgery provider located in Shreveport, LA. This NPI was enumerated on July 17, 2006.
DR. DONGSOO KIM, DMD, MD practices at 1501 KINGS HWY, DEPARTMENT OF ORAL SURGERY, Shreveport, LA 71103.

Quick Facts

NPI
1821016957
Type
Individual
Enumerated
Jul 17, 2006
Last Updated
Aug 25, 2021

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