Individual
JENNIE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
55 S MAIN ST STE 241, NAPERVILLE, IL 60540-5377
(630) 848-2010
Mailing address
2624 SWEETBROOM RD, NAPERVILLE, IL 60564-4325
(715) 491-5118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034508
IL
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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