Individual
DR. JENNIFER KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 GEIGER RD, PHILADELPHIA, PA 19115-1008
(302) 632-3177
Mailing address
932 N MARSHALL ST APT 1, PHILADELPHIA, PA 19123-1345
(302) 632-3177
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
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Other
Enumeration date
06/11/2015
Last updated
08/28/2020
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