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Individual
JI YEON KIM
Active
Individual
JI YEON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41513
TX
Other
Enumeration date
04/07/2023
Last updated
07/10/2025
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