Individual
JIN WAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
877 W FREMONT AVE STE I2, SUNNYVALE, CA 94087-2319
(650) 964-4867
Mailing address
408 HILLSBOROUGH BLVD, SAN MATEO, CA 94402-1126
(858) 525-5132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
103133
CA
1223P0300X
Periodontics
Primary
103133
CA
Other
Enumeration date
07/10/2018
Last updated
09/10/2021
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