Individual
SEONJEONG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3212 N WINDSONG DR STE 200, PRESCOTT VALLEY, AZ 86314-2255
(928) 583-1000
Mailing address
3212 N WINDSONG DR STE 200, PRESCOTT VALLEY, AZ 86314-2255
(928) 583-1000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7074
AZ
Other
Enumeration date
02/06/2008
Last updated
06/02/2026
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