Organization
JOHN M KIM DMD PC
Active
Other names
John M Kim DMD
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY MITOWSKI (OFFICE MANAGER)
(269) 429-7122
Entity
Organization
Contact information
Practice address
3102 NILES RD, SAINT JOSEPH, MI 49085-8609
(269) 429-7122
(269) 429-6410
Mailing address
3102 NILES RD, SAINT JOSEPH, MI 49085-8609
(269) 429-7122
(269) 429-6410
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
014347
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2983370
—
MI
Enumeration date
09/09/2010
Last updated
07/23/2015
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