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Dr. Yoon Jae Kim, D.M.D

Dentist, General Practice in South Easton, MA. Individual provider (NPI-1).

NPI number1295069722
StatusActive
Last updated in NPPESAug 29, 2022

Details

NPI
1295069722
Entity type
Individual (NPI-1)
Name
Dr. Yoon Jae Kim
Credential
D.M.D
Sex
Male
Sole proprietor
No
Enumeration date
Oct 1, 2009
Certification date
Jul 11, 2022
Last updated
Aug 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN1855295MAYes
1223G0001X Dentist, General Practice03749NH

Practice location

165 Belmont St Ste A
South Easton, MA 02375-1952

Phone 508-230-0048

Mailing address

165 Belmont St Ste A
South Easton, MA 02375-1952

Phone 508-230-0048

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