Individual
DAE HA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1150 FOXWORTHY AVE STE 10, SAN JOSE, CA 95118-1209
(408) 439-0538
Mailing address
4301 RENAISSANCE DR, APT 215, SAN JOSE, CA 95134-1505
(408) 439-0538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
63755
CA
Other
Enumeration date
08/01/2014
Last updated
08/23/2019
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