Jason Kim DDS

NPI 1629302138 - Dentist - 1223G0001X

NPI Details
NPI 1629302138
Gender Male
Enumeration Date 09/30/2009
Last Updated 10/21/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
2220 SMOKEWOOD AVE
FULLERTON CA, 92831-1107, US
Phone (714) 853-5086
Fax
Business Location
2220 SMOKEWOOD AVE
FULLERTON CA, 92831-1107, US
Phone (714) 853-5086
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 58856
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According to our database, Dr. Jason Kim DDS NPI is 1629302138, taxonomy code is 1223G0001X and license number is 58856, license state is located at California. Jason Kim DDS physically located at 2220 Smokewood Ave, Fullerton CA, 92831-1107. NPI Number Jason Kim DDS has the Individual type.

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1629302138 NPI number is provided on an as is basis without warranty of any kind. 1629302138 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Kim DDS are for informational purposes only.