Kim, Jin Wan

Kim, Jin Wan is an individual health care provider with primary practice located at 877 W Fremont Ave Ste I2 , Sunnyvale CA 94087-2319. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Kim, Jin Wan can be contacted via phone (650) 964-4867.

Contact Information

Primary practice address
877 W Fremont Ave Ste I2 Sunnyvale CA 94087-2319
Phone: (650) 964-4867
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 103133 California
Dental Providers / Periodontics 1223P0300X 103133 California

Profile Details

NPI number 1588150841
LBN Legal business name Kim, Jin Wan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2018
Last updated Sep 10th, 2021 - about 3 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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