# SONORAN SKY FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1346800760
- **Authorized official:** THOMAS K KIM D.D.S. (OWNER/ DENTIST)
- **Authorized official phone:** (623) 877-8110

## Contact information

- **Practice address:** 9515 WEST CAMELBACK ROAD, SUITE \#120, PHOENIX, AZ 85037
- **Practice address phone:** (623) 877-8710
- **Practice address fax:** (623) 877-9339
- **Mailing address:** 9515 WEST CAMELBACK ROAD, SUITE \#120, PHOENIX, AZ 85037
- **Mailing address phone:** (623) 877-8710
- **Mailing address fax:** (623) 877-9339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2019
- **Last updated:** 06/18/2019