Individual
EUGENE JUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8575 E PRINCESS DR, SUITE 217, SCOTTSDALE, AZ 85255-5483
(480) 342-8200
(480) 342-8008
Mailing address
8575 E PRINCESS DR, SUITE 217, SCOTTSDALE, AZ 85255-5483
(480) 342-8200
(480) 342-8008
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9251
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49585711
—
CO
Enumeration date
10/11/2005
Last updated
03/07/2023
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