Individual
DR. BRIAN DAE-YONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1580 MAKALOA ST, SUITE 535, HONOLULU, HI 96814-3291
(808) 979-2875
(808) 979-7575
Mailing address
1580 MAKALOA ST, SUITE 535, HONOLULU, HI 96814-3291
(808) 979-2875
(808) 979-7575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
BK9436569
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000244343
HMSA
HI
01
—
2055
HAWAII DENTAL SERVICE
HI
05
—
543422-01
—
HI
01
—
8518
DELTA DENTAL
HI
Enumeration date
07/31/2006
Last updated
02/04/2008
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