# JOSEPH J KIM DDS PS

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

## Provider details

- **NPI number:** 1376642801
- **Authorized official:** DR. JOSEPH JUNE KIM DDS (PRESIDENT)
- **Authorized official phone:** (360) 694-4000

## Contact information

- **Practice address:** 300 E 24TH ST, VANCOUVER, WA 98663-3214
- **Practice address phone:** (360) 694-4000
- **Practice address fax:** (360) 694-1647
- **Mailing address:** 300 E 24TH ST, VANCOUVER, WA 98663-3214
- **Mailing address phone:** (360) 694-4000
- **Mailing address fax:** (360) 694-1647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE 9988 | WA | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5047717 | — | WA |