Jason Minje Kim, DDS
NPI #1407547151 in West Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1407547151
- Entity Type
- Individual
- Name
- Jason Minje Kim, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 15, 2023
- Last Updated
- Jul 25, 2023
Practice Location
- Address
- 2100 MILLER PARK WAY
- City
- West Milwaukee
- State
- Wisconsin
- ZIP Code
- 53219-1641
- Phone
- (317) 965-9259
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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