Kim A Gowey Dds Ltd

NPI 1245355460 - Dentist - 122300000X

NPI Details
NPI 1245355460
Enumeration Date 03/20/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KIM A KIM
Position PRESIDENT
Phone (715) 748-4432
Fax
Practice Location
1034 W BROADWAY AVE
MEDFORD WI, 54451-1310, US
Phone (715) 748-4432
Fax
Business Location
PO BOX 389
MEDFORD WI, 54451-0389, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Wisconsin
License Number 5001790015
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According to our database, Kim A Gowey Dds Ltd NPI is 1245355460, taxonomy code is 122300000X and license number is 5001790015, license state is located at Wisconsin. Kim A Gowey Dds Ltd physically located at 1034 W Broadway Ave, Medford WI, 54451-1310. NPI Number 1033115704 has the healthcare provider type.

1245355460 NPI number is provided on an as is basis without warranty of any kind. 1245355460 is maintained by the National Plan & Provider Enumeration System. The contents of Kim A Gowey Dds Ltd are for informational purposes only.