Kitae Kim

NPI #1467280479 in Salem, Oregon

Provider Information

NPI Number: 1467280479
Entity Type: Individual
Name: Kitae Kim
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 22, 2024
Last Updated: Jul 22, 2024

Practice Location

Address: 436 LANCASTER DR NE
City: Salem
State: Oregon
ZIP Code: 97301-4728
Phone: (503) 391-8920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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