Individual
JEAN H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3689
(330) 480-2904
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3689
(330) 480-2904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30020016
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134661
—
OH
Enumeration date
11/01/2006
Last updated
02/05/2017
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