| John M Kim Dmd | |
|
3102 Niles Rd Saint Joseph MI 49085-8609 | |
| (269) 429-7122 | |
| (269) 429-6410 |
| Full Name | John M Kim Dmd |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3102 Niles Rd, Saint Joseph, Michigan |
| Authorized Official Name and Position | Cindy Mitowski (OFFICE MANAGER) |
| Authorized Official Contact | 2694297122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John M Kim Dmd 3102 Niles Rd Saint Joseph MI 49085-8609 Ph: (269) 429-7122 | John M Kim Dmd 3102 Niles Rd Saint Joseph MI 49085-8609 Ph: (269) 429-7122 |
| NPI Number | 1144537333 |
|---|---|
| Provider Enumeration Date | 09/09/2010 |
| Last Update Date | 07/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144537333 | NPI | - | NPPES |
| 2983370 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 014347 (Michigan) | Primary |
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