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1003507633
JONATHAN KIM
SAN DIEGO, CA
NPI
1003507633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 110273)
Enumeration Date
2023-05-16
Last Update Date
2024-11-08
Business Address
JONATHAN KIM DMD
2050 EL CAJON BLVD
SAN DIEGO, CA 92104-1007
Phone number: 619-637-9774
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Mailing Address
JONATHAN KIM DMD
11778 CARMEL CREEK RD APT 203
SAN DIEGO, CA 92130-6606
Phone number: 858-925-3064
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