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General NPI Number Information
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NPI Number | 1073798302
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Entity Type | Organization
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Legal Business Name | KIM ORTHODONTICS LLC
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Dates
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Enumeration Date | 01/05/2008
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Last Update Date | 01/05/2008
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Provider Practice Location Address
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Address Line | 1441 KAPIOLANI BLVD SUITE 1515
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City | HONOLULU
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State | HI
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Zip | 96814-4402
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Country | US
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Telephone | 808-941-9888
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 KAPIOLANI BLVD SUITE 1515
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City | HONOLULU
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State | HI
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Zip | 96814-4402
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Country | US
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Telephone | 808-941-9888
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. GERALD W.H. KIM
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Credential | DDS, MSD
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Telephone | 808-941-9888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | HI
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