JISUN KIM

SAN DIEGO, CA
NPI1518722941
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  112452)
Enumeration Date2024-02-15
Last Update Date2025-10-15
Business Address
JISUN KIM
2310 CRAVEN ST UNIT 3230
SAN DIEGO, CA 92136-5596
Phone number: 619-556-8240
Mailing Address
JISUN KIM
800 BROADWAY APT 1807
SAN DIEGO, CA 92101-5656
Phone number: 831-359-3687
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