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Individual
DR. JOHN K KIM
Active
Individual
DR. JOHN K KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25921
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B25921-01
DENTI-CAL
CA
Enumeration date
03/21/2007
Last updated
07/08/2007
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