KITAE KIM

SALEM, OR
NPI1467280479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D12058)
Enumeration Date2024-07-22
Last Update Date2024-07-22
Business Address
KITAE KIM
436 LANCASTER DR NE
SALEM, OR 97301-4728
Phone number: 503-391-8920
Mailing Address
KITAE KIM
17821 SW LOCKWOOD CT
SHERWOOD, OR 97140-6131
Phone number:
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