Individual
DR. MICHAEL CHARLES KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
730 SE OAK ST, SUITE A & B, HILLSBORO, OR 97123-4245
(503) 352-2354
(503) 352-2363
Mailing address
PO BOX 568, CORNELIUS, OR 97113-0568
(503) 352-8642
(503) 335-2865
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10518
OR
Other
Enumeration date
09/01/2016
Last updated
03/01/2017
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