Individual
DR. MISOOK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER, SALEM, OR 97305-1111
(503) 304-7600
(503) 304-7677
Mailing address
3750 CHEMAWA RD NE, SALEM, OR 97305-1111
(503) 304-7631
(503) 304-7677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6841
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278159
—
OR
Enumeration date
07/07/2006
Last updated
07/08/2007
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