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Individual
MR. JANG WOOK KIM
Active
Individual
MR. JANG WOOK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50150
CA
1223G0001X
General Practice Dentistry
D5015001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D5015001
—
CA
Enumeration date
03/14/2007
Last updated
03/07/2023
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