Individual
JIN SEOK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 N CLARK ST STE 600, C/O KOS SERVICES, ATTN: HR, CHICAGO, IL 60654-4782
(312) 274-0308
Mailing address
350 N CLARK ST STE 600, C/O KOS SERVICES, ATTN: HR, CHICAGO, IL 60654-4782
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
103932
CA
Other
Enumeration date
05/27/2019
Last updated
07/10/2019
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