Organization
JOSEPH J KIM DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH JUNE KIM DDS (PRESIDENT)
(360) 694-4000
Entity
Organization
Contact information
Practice address
300 E 24TH ST, VANCOUVER, WA 98663-3214
(360) 694-4000
(360) 694-1647
Mailing address
300 E 24TH ST, VANCOUVER, WA 98663-3214
(360) 694-4000
(360) 694-1647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 9988
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5047717
—
WA
Enumeration date
09/21/2006
Last updated
04/20/2008
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