Individual
DR. JAEWON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 N STONEWALL AVE # 524D, OKLAHOMA CITY, OK 73117-1214
(405) 271-7020
Mailing address
1201 N STONEWALL AVE # 524D, OKLAHOMA CITY, OK 73117-1214
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
F-021
OK
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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