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1306938709
MICHAEL I KIM
MEQUON, WI
NPI
1306938709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WI 3705)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL I KIM D.D.S.
10033 N PORT WASHINGTON RD
MEQUON, WI 53092-5799
Phone number: 262-241-5558
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Mailing Address
Dr. MICHAEL I KIM D.D.S.
10033 N PORT WASHINGTON RD
MEQUON, WI 53092-5799
Phone number: 262-241-5558
Copy
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