| NPI | 1104570548 |
|---|---|
| Doing Business As | DENTAL PRACTICE OF JAE EUN KIM, DMD |
| Entity Type | Organization |
| Authorized Contact | JAE EUN KIM General Dentist 626-800-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-04 |