DR. Michael I Kim, D.D.S.

NPI #1306938709 in Mequon, Wisconsin

Provider Information

NPI Number: 1306938709
Entity Type: Individual
Name: DR. Michael I Kim, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Sep 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 10033 N PORT WASHINGTON RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-5799
Phone: (262) 241-5558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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