Individual
DR. JOHN Y. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14545 W GRAND AVE, SUITE 111, SURPRISE, AZ 85374-7278
(623) 975-9775
(623) 975-9449
Mailing address
14545 W GRAND AVE, SUITE 111, SURPRISE, AZ 85374-7278
(623) 975-9775
(623) 975-9449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5654
AZ
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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