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General NPI Number Information
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NPI Number | 1275496218
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Entity Type | Organization
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Legal Business Name | PETER H KIM DDS LLC
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Dates
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Enumeration Date | 12/06/2025
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 140 HOOHANA ST STE 301
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City | KAHULUI
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State | HI
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Zip | 96732-2467
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Country | US
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Telephone | 808-707-7445
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Fax |
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Provider Business Mailing Address
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Address Line | 3411 KEPUHI ST
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City | HONOLULU
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State | HI
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Zip | 96815-4363
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Country | US
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Telephone | 213-948-4057
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER HOSUNG KIM
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Credential | DDS
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Telephone | 213-948-4057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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