Individual
DR. JEANNETTE K KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1012 COTTMAN AVE FL 2, PHILADELPHIA, PA 19111-3644
(267) 307-9691
(215) 342-8409
Mailing address
1012 COTTMAN AVE. 2ND FLOOR, PHILADELPHIA, PA 19111
(267) 307-9691
(215) 342-8409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-031351-L
PA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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