Individual
DR. JAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
144 BOSTON AVE, BRIDGEPORT, CT 06610-1604
(203) 437-7561
Mailing address
1955 LAKE AVE, ALTADENA, CA 91001-3037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
65151
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12130
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
65151
CA
Other
Enumeration date
10/28/2015
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us