Individual
PETER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 433-6825
Mailing address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 433-2353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63044
CA
Other
Enumeration date
05/06/2014
Last updated
01/12/2015
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