Individual
DR. JASON SO YONG GIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23838 VALENCIA BLVD STE 150, VALENCIA, CA 91355-5332
(661) 254-1924
(661) 254-1420
Mailing address
23838 VALENCIA BLVD STE 150, VALENCIA, CA 91355-5332
(661) 254-1924
(661) 254-1420
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
51336
CA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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