Individual
DR. ALEXANDER YOUNGWHAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
2222 E HIGHLAND AVE STE 320, PHOENIX, AZ 85016-4879
(602) 956-9560
(602) 956-9977
Mailing address
2222 E HIGHLAND AVE STE 320, PHOENIX, AZ 85016-4879
(602) 956-9560
(602) 956-9977
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
10929
AZ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
62347
AZ
Other
Enumeration date
06/20/2005
Last updated
08/14/2021
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