Organization
JOHN V KIM DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KIM (PRESIDENT)
(815) 633-7933
Entity
Organization
Contact information
Practice address
438 THEODORE ST, LOVES PARK, IL 61111-4056
(815) 633-7933
Mailing address
438 THEODORE ST, LOVES PARK, IL 61111-4056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
12/25/2006
Last updated
04/17/2008
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