Jae Do Kim, D.D.S.
NPI #1437501566 in Fort Bragg, California
Provider Information
- NPI Number
- 1437501566
- Entity Type
- Individual
- Name
- Jae Do Kim, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jul 13, 2016
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 205 SOUTH ST
- City
- Fort Bragg
- State
- California
- ZIP Code
- 95437-5540
- Phone
- (707) 961-4088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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