Ji S Kim

NPI #1790300614 in Mililani, Hawaii

Provider Information

NPI Number: 1790300614
Entity Type: Organization
Organization Name: Ji S Kim
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 16, 2020
Last Updated: Jun 16, 2020

Practice Location

Address: 95-1095 AINAMAKUA DRIVE
Address 2: SUITE 5/7 A
City: Mililani
State: Hawaii
ZIP Code: 96789
Phone: (808) 797-3044

Authorized Official

Name: JI S KIM
Title: BUSINESS OWNER
Phone: (808) 291-2487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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