Most Relevant Information
Provider Data
NPI Number: | 1003268319 |
Provider Name: | CATHERINE BOM KIM D.M.D. |
Entity Type: | Individual |
Taxonomy Code: | 122300000X |
Specialty: | Dentist |
License Number: | D10473 |
Most Important Dates
Enumeration Date: | 07/11/2016 |
Last Updated: | 10/20/2017 |
Provider Practice Location
4925 SW GRIFFITH DR
BEAVERTON
OR
970052923
Practice Location Phone/Fax
Phone: | 8554336825 |
Fax: |
Provider Mailing Location
6950 NE CAMPUS WAY
HILLSBORO
OR
971245611
Provider Mailing Phone/Fax
Phone: | 5039522125 |
Fax: |