Individual
CHUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4010 S 700 E #5, SALT LAKE CITY, UT 84107
(801) 262-0915
(801) 262-0812
Mailing address
4010 S 700 E #5, SALT LAKE CITY, UT 84107
(801) 262-0915
(801) 262-0812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8586670-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760748826
—
UT
Enumeration date
03/19/2014
Last updated
03/19/2014
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