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Individual
DR. JINNU KIM
Active
Individual
DR. JINNU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
109643
CA
1223G0001X
General Practice Dentistry
Primary
109643
CA
1223P0300X
Periodontics
Primary
109643
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
109643
CA
Other
Enumeration date
04/05/2025
Last updated
08/18/2026
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