NPI 1104354331
Doohak Kim
Practice location
- Address
- 205 Columbia Dr, South Lyon, MI 48178-1886
- Phone
- (248) 917-2475
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1104354331
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Jun 2017
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.