JEFFREY MARK KIM

PORT ORANGE, FL
NPI1982974135
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: FL  DN13917)
Enumeration Date2012-01-05
Last Update Date2012-01-05
Business Address
-- JEFFREY MARK KIM DDS
4570 S CLYDE MORRIS BLVD SUITE 1
PORT ORANGE, FL 32129-5401
Phone number: 386-322-4867
Mailing Address
-- JEFFREY MARK KIM DDS
4570 S CLYDE MORRIS BLVD SUITE 1
PORT ORANGE, FL 32129-5401
Phone number:
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