Individual
JOHN MINKYU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DT 2474
HI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DT-2474
HI
183500000X
Pharmacist
PH 2612
HI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901601571
MI
Other
Enumeration date
07/03/2012
Last updated
08/02/2023
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