Individual
JUN SIK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 N GATEWAY DR, MADERA, CA 93637-9600
(559) 363-4160
Mailing address
2366 E PINEHURST AVE, FRESNO, CA 93730-5950
(754) 610-2356
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
51270
CA
Other
Enumeration date
12/19/2017
Last updated
10/04/2021
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