Individual
DR. DIANA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15128 W BELL RD STE 12, SURPRISE, AZ 85374-2451
(602) 842-4864
Mailing address
5260 W DEL RIO ST, CHANDLER, AZ 85226-1921
(206) 455-5564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010583
AZ
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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