John V Kim Dds Pc | |
438 Theodore St Loves Park IL 61111-4056 | |
(815) 633-7933 | |
Not Available |
Full Name | John V Kim Dds Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 438 Theodore St, Loves Park, Illinois |
Authorized Official Name and Position | John Kim (PRESIDENT) |
Authorized Official Contact | 8156337933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John V Kim Dds Pc 438 Theodore St Loves Park IL 61111-4056 Ph: () - | John V Kim Dds Pc 438 Theodore St Loves Park IL 61111-4056 Ph: (815) 633-7933 |
NPI Number | 1578628269 |
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Provider Enumeration Date | 12/25/2006 |
Last Update Date | 04/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578628269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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