Individual
DR. BJ KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
20000 N 59TH AVE, GLENDALE, AZ 85308-6868
(206) 323-4233
Mailing address
20000 N 59TH AVE, GLENDALE, AZ 85308-6868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 60511889
WA
Other
Enumeration date
01/16/2015
Last updated
05/02/2017
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