Organization
ARIZONA DENTAL MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS K. KIM D.D.S. (OWNER/DENTIST)
(623) 877-8110
Entity
Organization
Contact information
Practice address
3515 WEST SOUTHERN AVENUE, SUITE #152, PHOENIX, AZ 85041
(602) 268-0006
(602) 268-0007
Mailing address
3515 WEST SOUTHERN AVENUE, SUITE #152, PHOENIX, AZ 85041
(602) 268-0006
(602) 268-0007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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