Individual
JAMIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
2483 SUNRISE BLVD, GOLD RIVER, CA 95670-4344
(678) 373-2536
Mailing address
2483 SUNRISE BLVD, GOLD RIVER, CA 95670-4344
(678) 373-2536
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
103281
CA
Other
Enumeration date
03/29/2019
Last updated
09/25/2020
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