Individual
DR. SONGHYON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-3131
Mailing address
PO BOX 95461, CLEVELAND, OH 44101-0033
(928) 669-2137
(928) 669-3131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
265201
UT
122300000X
Dentist
Primary
265201-9923
UT
122300000X
Dentist
30.025304
OH
122300000X
Dentist
D10160
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912076738
—
UT
Enumeration date
11/07/2006
Last updated
08/15/2025
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