Individual
DENNIS KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2423 W DUNLAP AVE, PHOENIX, AZ 85021-2830
(602) 997-9088
(602) 944-3803
Mailing address
14230 N 19TH AVE UNIT 144, PHOENIX, AZ 85023-6763
(480) 644-9399
(480) 668-7790
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6612
AZ
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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