Organization
PINNACLE PEAK ORAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE JUNG KIM DDS (OWNER)
(303) 513-7371
Entity
Organization
Contact information
Practice address
8575 E PRINCESS DR, SUITE #217, SCOTTSDALE, AZ 85255-5483
(480) 342-8200
Mailing address
3626 WYANDOT ST, DENVER, CO 80211-2951
(303) 513-7371
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
D9251
AZ
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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