Organization
JI S KIM DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JI KIM (OWNER/DENTIST)
(313) 531-2000
Entity
Organization
Contact information
Practice address
26750 GRAND RIVER AVE, REDFORD, MI 48240-1529
(313) 531-2000
(313) 531-1063
Mailing address
26750 GRAND RIVER AVE, REDFORD, MI 48240-1529
(313) 531-2000
(313) 531-1063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019035
MI
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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