| Seong W. Kim, Dmd, Llc | |
|
13056 Se Division St Portland OR 97236-3039 | |
| (503) 760-1341 | |
| Not Available |
| Full Name | Seong W. Kim, Dmd, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13056 Se Division St, Portland, Oregon |
| Authorized Official Name and Position | Seong Kim (OWNER) |
| Authorized Official Contact | 5034734839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seong W. Kim, Dmd, Llc 13056 Se Division St Portland OR 97236-3039 Ph: () - | Seong W. Kim, Dmd, Llc 13056 Se Division St Portland OR 97236-3039 Ph: (503) 760-1341 |
| NPI Number | 1811303241 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 07/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811303241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9495 (Oregon) | Primary |
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