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Individual
JOHN MINKYU KIM
Active
Individual
JOHN MINKYU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DT 2474
HI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DT-2474
HI
183500000X
Pharmacist
PH 2612
HI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901601571
MI
Other
Enumeration date
07/03/2012
Last updated
08/02/2023
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