NPI 1043729304

John Minwoo Kum, DDSMS

Practitioner Periodontics Cheyenne, WY

Practice location

Address: 1401 Airport Pkwy STE 110, Cheyenne, WY 82001-1522
Phone: (307) 632-4574

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence 1636 (WY)

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Registry record

NPI: 1043729304
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2017
Record last updated: 5 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.