Individual
DR. JI YOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
122 SARATOGA AVE, SANTA CLARA, CA 95051-7385
(408) 556-1333
Mailing address
1020 YATES WAY APT 102, SAN MATEO, CA 94403-1595
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS62922
CA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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