Individual
JIMIN KIM KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13065 E 17TH AVE, AURORA, CO 80045-2532
(303) 724-6900
Mailing address
14901 E GILL AVE UNIT C, AURORA, CO 80012-3842
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
00204547
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
104644
CA
Other
Enumeration date
02/15/2021
Last updated
02/25/2021
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