Individual
DR. EDMOND L KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4909 S COAST HWY STE 8, SOUTH BEACH, OR 97366-9654
(541) 867-3755
(541) 867-3756
Mailing address
4909 S COAST HWY STE 8, SOUTH BEACH, OR 97366-9654
(541) 867-3755
(541) 867-3756
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8330
NE
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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