Stefanel Erika Lee Kim, DMD Valid NPI

Individual provider · General Practice Dentistry · Bridgeport, CT

NPI

1215510086

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

13220 (CT)

Sex

Female

Sole proprietor

No

Enumerated

2021-04-29

Last updated

2023-03-05