| Ji S Kim Dds Pllc | |
|
26750 Grand River Ave Redford MI 48240-1529 | |
| (313) 531-2000 | |
| (313) 531-1063 |
| Full Name | Ji S Kim Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26750 Grand River Ave, Redford, Michigan |
| Authorized Official Name and Position | Ji Kim (OWNER/DENTIST) |
| Authorized Official Contact | 3135312000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ji S Kim Dds Pllc 26750 Grand River Ave Redford MI 48240-1529 Ph: (313) 531-2000 | Ji S Kim Dds Pllc 26750 Grand River Ave Redford MI 48240-1529 Ph: (313) 531-2000 |
| NPI Number | 1205110293 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 10/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205110293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901019035 (Michigan) | Primary |
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