Individual
HYON MI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6902 SE LAKE RD, MILWAUKIE, OR 97267-2148
(503) 659-0930
Mailing address
10201 NE 86TH ST, VANCOUVER, WA 98662-2115
(360) 907-7302
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4052
OR
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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