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Jake Kim, DDS
NPI 1053981407 · on the registry since 2021
Practice
- Address
- 507 Jefferson Ln
Lake Dallas, TX 75065 - Phone
- (703) 477-4659
- Organisation at this address
- 1010 Emergency Dental Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas