Individual
DR. STEVEN JAE DOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, DDS
Contact information
Practice address
MANNING DR & COLUMBIA ST, CHAPEL HILL, NC 27599-2205
(215) 969-0900
Mailing address
MANNING DR & COLUMBIA ST, CHAPEL HILL, NC 27599-0001
(919) 537-3737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401416720
VA
122300000X
Dentist
DS036939
PA
1223P0300X
Periodontics
Primary
09617
NC
1223P0300X
Periodontics
DS036939
PA
Other
Enumeration date
07/17/2009
Last updated
02/05/2020
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