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Individual
DR. STEVEN JAE DOO KIM
Active
Individual
DR. STEVEN JAE DOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401416720
VA
122300000X
Dentist
DS036939
PA
1223P0300X
Periodontics
Primary
09617
NC
1223P0300X
Periodontics
DS036939
PA
Other
Enumeration date
07/17/2009
Last updated
02/05/2020
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