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Jae Seon Kim, DDS

NPI #1053672022 in Augusta, Georgia

Provider Information

NPI Number
1053672022
Entity Type
Individual
Name
Jae Seon Kim, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Prosthodontics
Credential
DDS
Enumeration Date
Jun 6, 2012
Last Updated
Jun 6, 2012

Practice Location

Address
1430 JOHN WESLEY GILBERT DRIVE
Address 2
GC-1024
City
Augusta
State
Georgia
ZIP Code
30912-1001
Phone
(706) 721-9633

Specialties & Taxonomy Codes

Specialty
Dentist - Prosthodontics — Prosthodontics

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