# JIWON LIM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417573312
- **Gender:** F
- **Credential:** DMD, MPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0411000075 | VA | Yes |
| 1223G0001X | General Practice Dentistry | 11867 | NC | — |
| 125Q00000X | Oral Medicine Dentistry | 0411000075 | VA | — |

## Other

- **Enumeration date:** 06/17/2020
- **Last updated:** 04/09/2025