IndividualActive
Bolam Kim
NPI 1184857302 · Periodontics · Boston, MA
Provider details
- NPI number
- 1184857302
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- DL10750 (MA)
Specialties & taxonomies
Dental Providers
Practice location
100 E Newton St
G217
Boston, MA 02118-2308
Phone: (617) 680-9469
Approximate (ZIP-level) locationGet directions
Mailing address
35 Northampton St
Boston, MA 02118-4014
Registry dates
- Enumerated
- 2009-09-03
- Last updated
- 2009-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.