Whalio Doctors

NPI 1457356057

Alexander Youngwhan Kim, MDDDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Phoenix, AZ

Practice location

Address
2222 E Highland Ave STE 320, Phoenix, AZ 85016-4879
Phone
(602) 956-9560
Fax
(602) 956-9977

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 62347 (AZ)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 10929 (AZ)

Registry record

NPI
1457356057
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jun 2005
Record last updated
14 Aug 2021

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.