Individual
DR. JIA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1901 W EXPY 83 STE 800, WESLACO, TX 78596-4348
(412) 438-8488
Mailing address
3800 LA SIENNA PKWY APT 4205, EDINBURG, TX 78542-6225
(412) 529-1106
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40020
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2023
Last updated
09/18/2023
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