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Organization
JESSE KIM,DDS.INC
Active
Organization
JESSE KIM,DDS.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE KIM (CEO)
(805) 928-5400
Entity
Organization
Contact information
Practice address
1774 S BROADWAY, SANTA MARIA, CA 93454-7604
(805) 928-5400
Mailing address
1774 S BROADWAY, SANTA MARIA, CA 93454-7604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D49346
CA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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