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General NPI Number Information
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NPI Number | 1942752969
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Entity Type | Organization
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Legal Business Name | JOSEPH S KIM, DMD, INC
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 700 E EL CAMINO REAL STE 220
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-2813
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Country | US
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Telephone | 650-938-9280
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Fax | 650-938-9282
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Provider Business Mailing Address
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Address Line | 700 E EL CAMINO REAL STE 220
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-2813
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Country | US
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Telephone | 650-938-9280
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Fax | 650-938-9282
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JOSEPH S KIM
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Credential | DMD
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Telephone | 650-938-9280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 43993
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License Number State | CA
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