Individual
DR. MICHAEL I KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10033 N PORT WASHINGTON RD, MEQUON, WI 53092-5799
(262) 241-5558
(252) 241-5545
Mailing address
10033 N PORT WASHINGTON RD, MEQUON, WI 53092-5799
(262) 241-5558
(252) 241-5545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3705
WI
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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