TAE KIM, DMD
Dentist - General Practice
Active
Individual
NPI: 1154842797
Practice Address
BLDG H 2005 KNIGHT LANENAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
Jacksonville, FL 32212
Phone: (760) 725-0140
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | DS041435 (PA) |
Frequently Asked Questions
NPI 1154842797 is the National Provider Identifier for TAE KIM, DMD, a Dentist - General Practice provider located in Jacksonville, FL. This NPI was enumerated on July 5, 2017.
TAE KIM, DMD practices at BLDG H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, Jacksonville, FL 32212.
Quick Facts
- NPI
- 1154842797
- Type
- Individual
- Enumerated
- Jul 5, 2017
- Last Updated
- Jul 5, 2017
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