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Individual

DR. KING KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1325 S PINE ST, SUITE 102, MELBOURNE, FL 32901-3189
(321) 725-5377
(321) 951-3393
Mailing address
1325 S PINE ST, SUITE 102, MELBOURNE, FL 32901-3189
(321) 725-5377
(321) 951-3393

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN182228
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
63A10
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
10/30/2007
Last updated
05/19/2014
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