Individual
DR. KEVIN K SHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 SE 223RD AVE, SUITE 260, GRESHAM, OR 97030-2574
(503) 667-1184
Mailing address
13180 SE SNOWFIRE DR, HAPPY VALLEY, OR 97236-8022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8645
OR
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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