Jin Wan Kim, DDS Valid NPI
Individual provider · Periodontics · Sunnyvale, CA
- NPI
- 1588150841
- Type
- Individual (Type 1)
- Primary specialty
- Periodontics (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0300X
- License number
- 103133 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-07-10
- Last updated
- 2021-09-10
Practice location
877 W Fremont Ave Ste I2
Sunnyvale, CA 94087-2319
(650) 964-4867