Individual
JONGGUON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9138 ARLON ST STE B4, ANCHORAGE, AK 99507-3876
(907) 333-6666
Mailing address
7308 CHUGACH MEADOWS LOOP, ANCHORAGE, AK 99507-2685
(909) 342-3009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
115372
AK
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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