Organization
DEEPLY ROOTED DENTISTRY, LLC
Active
Parent organization
DEEPLY ROOTED DENTISTRY, LLC
Other names
PAUL KIM, DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEEPLY ROOTED DENTISTRY, LLC
Authorized official
DR. PAUL H KIM DMD (DENTIST/OWNER)
(541) 678-5060
Entity
Organization
Contact information
Practice address
461 NE GREENWOOD AVE, SUITE C, BEND, OR 97701
(541) 678-5060
(541) 306-4004
Mailing address
461 NE GREENWOOD AVE, SUITE C, BEND, OR 97701
(541) 678-5060
(541) 306-4004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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