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Jae Do Kim, DDS
General Practice Dentistry in Fort Bragg, California
NPI 1437501566

Jae Do Kim is a General Practice Dentistry based in Oklahoma City, CA and is specialized in General Practice. Jae Do Kim practices in Fort Bragg, CA and has the professional credentials of DDS. The NPI Number for Jae Do Kim is 1437501566 and holds a License No. (California).

The current practice location address for Jae Do Kim is 205 South St, Fort Bragg, CA and can be reached out via phone at 707-961-4088.

Location: 205 South St, Fort Bragg, CA, 73127-2858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437501566
Provider Name
Jae Do Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
205 South St, Fort Bragg, CA, 73127-2858
Phone Number
707-961-4088
Fax Number
Provider Enumeration Date
07/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 South St
City
Fort Bragg
State
California
Zip
95437-5540
Phone Number
707-961-4088
Fax Number
person
Provider Business Mailing Address Details
Address
205 South St
City
Fort Bragg
State
California
Zip
95437-5540
Phone Number
707-961-4088
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
102969 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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