Individual
JISU KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1070 N KING ST STE 207, HONOLULU, HI 96817-4584
(808) 499-7924
Mailing address
1070 N KING ST STE 207, HONOLULU, HI 96817-4584
(808) 499-7924
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12444
CT
122300000X
Dentist
35909
TX
122300000X
Dentist
DE60997067
WA
122300000X
Dentist
DS040530
PA
122300000X
Dentist
Primary
DT-2882
HI
Other
Enumeration date
01/22/2019
Last updated
09/22/2024
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