| Ji S Kim | |
|
95-1095 Ainamakua Drive Suite 5/7 A Mililani HI 96789 | |
| (808) 797-3044 | |
| (808) 797-3042 |
| Full Name | Ji S Kim |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 95-1095 Ainamakua Drive, Mililani, Hawaii |
| Authorized Official Name and Position | Ji S Kim (BUSINESS OWNER) |
| Authorized Official Contact | 8082912487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ji S Kim 95-1095 Ainamakua Drive Suite 5/7 A Mililani HI 96789 Ph: (808) 797-3044 | Ji S Kim 95-1095 Ainamakua Drive Suite 5/7 A Mililani HI 96789 Ph: (808) 797-3044 |
| NPI Number | 1790300614 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 06/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790300614 | NPI | - | NPPES |
| 1740357755 | Other | HI | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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