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1225245004
KATHY S.M. KIM
BEAVERTON, OR
NPI
1225245004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D6477)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
Dr. KATHY S.M. KIM DDS
4150 SW 100TH AVE
BEAVERTON, OR 97005
Phone number: 503-627-0619
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Mailing Address
Dr. KATHY S.M. KIM DDS
4150 SW 110TH AVE
BEAVERTON, OR 97005-3016
Phone number: 503-627-0619
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