Individual
JILLIAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5040 N MAY AVE, OKLAHOMA CITY, OK 73112-6010
(405) 494-4961
Mailing address
2925 BRUSH CREEK RD, OKLAHOMA CITY, OK 73120-1845
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5124
OK
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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