Individual
JAEWOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 W MARKET ST, HALLAM, PA 17406-1024
(231) 942-2827
Mailing address
2835 EASTERN BLVD, YORK, PA 17402-2909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044670
PA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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