| NPI | 1578200804 |
|---|---|
| Former Legal Business Name | JESSE G KIM DDS |
| Entity Type | Organization |
| Authorized Contact | JESSE GAWSUNG KIM Dentist 408-819-1709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-06-23 |