Individual
DR. EDWIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
81-990 HALEKII ST #7, KEALAKEKUA, HI 96750
(907) 538-7051
Mailing address
PO BOX 4532, KAILUA KONA, HI 96745-4532
(907) 538-7051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1431
AK
1223G0001X
General Practice Dentistry
45378
CA
Other
Enumeration date
02/13/2007
Last updated
07/21/2022
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