| Joseph J Kim Dds Ps | |
|
300 E 24th St Vancouver WA 98663-3214 | |
| (360) 694-4000 | |
| (360) 694-1647 |
| Full Name | Joseph J Kim Dds Ps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 300 E 24th St, Vancouver, Washington |
| Authorized Official Name and Position | Joseph June Kim (PRESIDENT) |
| Authorized Official Contact | 3606944000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph J Kim Dds Ps 300 E 24th St Vancouver WA 98663-3214 Ph: (360) 694-4000 | Joseph J Kim Dds Ps 300 E 24th St Vancouver WA 98663-3214 Ph: (360) 694-4000 |
| NPI Number | 1376642801 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376642801 | NPI | - | NPPES |
| 5047717 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE 9988 (Washington) | Primary |
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