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Kaeun Julia Kim, DDS

Dentist in Thornton, CO. Individual provider (NPI-1).

NPI number1619705043
StatusActive
Last updated in NPPESJul 25, 2024

Details

NPI
1619705043
Entity type
Individual (NPI-1)
Name
Kaeun Julia Kim
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 25, 2024
Certification date
Jul 25, 2024
Last updated
Jul 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDEN.00206006COYes

Practice location

16683 Washington St Bldg 5
Thornton, CO 80023-8970

Phone 704-280-0902

Mailing address

16683 Washington St Bldg 5
Thornton, CO 80023-8970

Phone 704-280-0902

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