Individual
DR. JOSHUA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19059 SE DIVISION ST, GRESHAM, OR 97030-5165
(503) 661-4711
Mailing address
700 SE CESAR E CHAVEZ BLVD APT 307, PORTLAND, OR 97214-3599
(614) 571-5574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10726
OR
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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