Individual
JOSEPH J. KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
72415 PARKVIEW DR, PALM DESERT, CA 92260-2779
(760) 568-5192
Mailing address
35948 MICHELLE LN, BEAUMONT, CA 92223-1649
(909) 430-1973
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
103685
CA
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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