Individual
JUNIL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS042670
PA
1223P0221X
Pediatric Dentistry
Primary
DDS111018
CA
1223P0221X
Pediatric Dentistry
DS042670
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2016
Last updated
12/07/2024
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