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General NPI Number Information
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NPI Number | 1811882582
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Entity Type | Organization
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Legal Business Name | DR. ALEXANDER J. KIM, INC.
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 425 E REMINGTON DR STE 3
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City | SUNNYVALE
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State | CA
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Zip | 94087-1934
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Country | US
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Telephone | 415-812-5784
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Fax |
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Provider Business Mailing Address
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Address Line | 425 E REMINGTON DR STE 3
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City | SUNNYVALE
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State | CA
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Zip | 94087-1934
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Country | US
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Telephone | 408-446-5789
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Fax | 408-446-1447
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. ALEXANDER JEFFREY KIM
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Credential | DDS
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Telephone | 415-812-5784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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