Individual
JEAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
DEON SQUARE, 532 S OXFORD VALLEY RD, FAIRLESS HILLS, PA 19030
(215) 946-3655
Mailing address
DEON SQUARE, 532 S OXFORD VALLEY RD, FAIRLESS HILLS, PA 19030
(215) 946-3655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040986
PA
Other
Enumeration date
08/28/2016
Last updated
10/18/2016
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