Kim, Jeanie

Kim, Jeanie is an individual health care provider with primary practice located at 411 4Th St Suite C, San Rafael CA 94901-5716. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Kim, Jeanie can be contacted via phone (415) 473-5454.

Contact Information

Primary practice address
411 4Th St Suite C San Rafael CA 94901-5716
Phone: (415) 473-5454
Fax: (415) 473-5460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 56312 California

Profile Details

NPI number 1346427903
LBN Legal business name Kim, Jeanie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2008
Last updated Jan 25th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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