Individual
JI MIN YOCHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
120 N 7TH AVE, BOZEMAN, MT 59715-3304
(406) 404-8563
Mailing address
2201 BAXTER LN UNIT 4708, BOZEMAN, MT 59772-8068
(909) 353-4004
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13545
MT
1223P0221X
Pediatric Dentistry
58811
CA
332B00000X
Durable Medical Equipment & Medical Supplies
13545
MT
Other
Enumeration date
10/20/2009
Last updated
11/30/2021
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