Provider Demographics
NPI:1003965963
Name:KIM, JOSEPH SUNIL (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SUNIL
Last Name:KIM
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:700 E EL CAMINO REAL
Mailing Address - Street 2:SUITE # 220
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2804
Mailing Address - Country:US
Mailing Address - Phone:650-938-9280
Mailing Address - Fax:650-938-9282
Practice Address - Street 1:700 E EL CAMINO REAL
Practice Address - Street 2:SUITE # 220
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2804
Practice Address - Country:US
Practice Address - Phone:650-938-9280
Practice Address - Fax:650-938-9282
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA439931223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology