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1013796309
JISOO KIM
SAN JOSE, CA
NPI
1013796309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 109428)
Enumeration Date
2023-09-26
Last Update Date
2023-09-26
Business Address
JISOO KIM
1628 HOSTETTER RD STE J
SAN JOSE, CA 95131-3309
Phone number: 408-929-9999
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Mailing Address
JISOO KIM
1887 GREENFIELD AVE APT 310
LOS ANGELES, CA 90025-4416
Phone number: 202-684-0703
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