Seonjeong Kim
Dentist, General Practice in Prescott Valley, AZ. Individual provider (NPI-1).
NPI number1528246162
StatusActive
Last updated in NPPESJun 2, 2026
Details
- NPI
- 1528246162
- Entity type
- Individual (NPI-1)
- Name
- Seonjeong Kim
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2008
- Certification date
- Jun 2, 2026
- Last updated
- Jun 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 7074 | AZ | Yes |
Practice location
3212 N Windsong Dr Ste 200Prescott Valley, AZ 86314-2255
Phone 928-583-1000
Mailing address
3212 N Windsong Dr Ste 200Prescott Valley, AZ 86314-2255
Phone 928-583-1000
Other practice locations
51 Brian Mickelsen Pkwy
Cottonwood, AZ 86326-3610
Cottonwood, AZ 86326-3610
Phone 928-639-8132
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All 24 General Practice Dentistry providers in Prescott Valley · All 972 providers in Prescott Valley
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