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1780036475
CHANG KIM
LAKE HAVASU CITY, AZ
NPI
1780036475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D009530)
Enumeration Date
2016-07-06
Last Update Date
2016-07-06
Business Address
-- CHANG KIM D.M.D.
1971 MCCULLOCH BLVD N STE 100
LAKE HAVASU CITY, AZ 86403-6118
Phone number: 928-733-6070
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Mailing Address
-- CHANG KIM D.M.D.
2095 MESQUITE AVE UNIT 23
LAKE HAVASU CITY, AZ 86403-6749
Phone number:
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