Kim, Jeff B

Kim, Jeff B is an sole proprietor health care provider with primary practice located at 1150 W Center St Suite #103, Manteca CA 95337-4313. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kim, Jeff B can be contacted via phone (209) 823-1705.

Contact Information

Primary practice address
1150 W Center St Suite #103 Manteca CA 95337-4313
Phone: (209) 823-1705
Fax: (209) 823-0350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 40636 California

Profile Details

NPI number 1245343961
LBN Legal business name Kim, Jeff B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Jul 8th, 2007 - about 18 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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