# JI S KIM DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205110293
- **Authorized official:** JI KIM (OWNER/DENTIST)
- **Authorized official phone:** (313) 531-2000

## Contact information

- **Practice address:** 26750 GRAND RIVER AVE, REDFORD, MI 48240-1529
- **Practice address phone:** (313) 531-2000
- **Practice address fax:** (313) 531-1063
- **Mailing address:** 26750 GRAND RIVER AVE, REDFORD, MI 48240-1529
- **Mailing address phone:** (313) 531-2000
- **Mailing address fax:** (313) 531-1063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901019035 | MI | Yes |

## Other

- **Enumeration date:** 10/07/2011
- **Last updated:** 10/07/2011