J. KIM PERIODONTICS, LLC

PORT ORANGE, FL
NPI1629198551
Entity TypeOrganization
Authorized ContactJEFFREY M KIM
Owner
386-322-4867
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: FL  DN13917)
Enumeration Date2007-04-02
Last Update Date2007-09-28
Business Address
J. KIM PERIODONTICS, LLC
4570 S CLYDE MORRIS BLVD SUITE 1
PORT ORANGE, FL 32129-5401
Phone number: 386-322-4867
Mailing Address
J. KIM PERIODONTICS, LLC
4570 S CLYDE MORRIS BLVD SUITE 1
PORT ORANGE, FL 32129-5401
Phone number: 386-322-4867
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