Pyo Jae Kim
Pyo Jae Kim is a Student in an Organized Health Care Education/Training Program in Troy, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
805 Sandalwood DrTroy, MI 48085-1643
Phone: (213) 400-2614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 2901600680 (MI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1659991107 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 24, 2020 |
| Last updated in NPPES | January 19, 2021 |
| Certification date | January 19, 2021 |
| Mailing address | 805 Sandalwood Dr, Troy, MI 48085-1643 |
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