Individual
JANE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 STATE RD, NORTH DARTMOUTH, MA 02747-2920
(508) 996-3360
Mailing address
72 STATE RD, NORTH DARTMOUTH, MA 02747-2920
(508) 996-3360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857275
MA
Other
Enumeration date
08/27/2016
Last updated
08/27/2016
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