DR. Jake Kim, DDS
NPI #1053981407 in Lake Dallas, Texas
Provider Information
- NPI Number
- 1053981407
- Entity Type
- Individual
- Name
- DR. Jake Kim, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 28, 2021
- Last Updated
- Nov 24, 2024
Practice Location
- Address
- 507 JEFFERSON LN
- City
- Lake Dallas
- State
- Texas
- ZIP Code
- 75065-3489
- Phone
- (703) 477-4659
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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