Individual
JAE HA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2700 HYDRAULIC RD, CHARLOTTESVILLE, VA 22901-8915
(434) 973-2968
Mailing address
2700 HYDRAULIC RD, CHARLOTTESVILLE, VA 22901-8915
(313) 815-0803
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901023211
MI
Other
Enumeration date
05/23/2019
Last updated
12/15/2025
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