Organization
JOHN Y KIM DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KIM DDS (PRESIDENT)
(623) 975-9775
Entity
Organization
Contact information
Practice address
14545 W GRAND AVE, SUITE 111, SURPRISE, AZ 85374-7278
(623) 975-9775
(623) 975-9449
Mailing address
14545 W GRAND AVE, SUITE 111, SURPRISE, AZ 85374-7278
(623) 975-9775
(623) 975-9449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5654
AZ
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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