Individual
DR. JENNIFER KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
22DI02674500
NJ
1223P0221X
Pediatric Dentistry
Primary
DS041641
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2015
Last updated
08/28/2020
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