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DR. PAUL HOON KIM D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1477643823

Individual Registrant:
DR. PAUL HOON KIM D.D.S.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
90 MDOS 6900 ALDEN DR F.E. WARREN AFB, WY 82005 US
Tel: 307-773-1846  Fax: 307-773-3399

Contact information for business:
3306 RANDY RD  CHEYENNE, WY 82001-5940 US
Tel: 909-913-5962  Fax: --

Registration Information:
NPI: 1477643823
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
WADE00010592

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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