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Individual
JIN YONG SIM
Active
Individual
JIN YONG SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN124161
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
06/10/2026
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