Individual
DR. JAE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
41 STATE RD, DARTMOUTH, MA 02747-3319
(617) 519-8924
Mailing address
19 DWIGHT ST, #3, BOSTON, MA 02118-3608
(617) 519-8924
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856890
MA
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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