Individual
JAY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
U.S. NAVAL HOSPITAL GUAM, BLDG 50, FARENHOLT AVE, AGANA HEIGHTS, GU 96910
(671) 344-9340
Mailing address
PSC 455 BOX 208, FPO, AP 96540-0003
(671) 344-9340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417592
VA
Other
Enumeration date
08/14/2021
Last updated
09/19/2023
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