Individual
JOON HYUK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6100 WASHINGTON AVE STE F2, MOUNT PLEASANT, WI 53406-4000
(262) 999-9998
Mailing address
6100 WASHINGTON AVE STE F2, MOUNT PLEASANT, WI 53406-4000
(262) 999-9998
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002240
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097107
—
WI
Enumeration date
02/04/2020
Last updated
12/18/2023
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