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Jaewon Kim
NPI 1558032995 · on the registry since 2021
Practice
- Address
- 1201 N Stonewall Ave # 524d
Oklahoma City, OK 73117 - Phone
- (405) 271-7020
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Periodontics
1223P0300X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-24
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 Oklahoma