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Contact Information

JONGSUNG KIM, DDS
51MDG/51DS
UNIT 2060
APO, AP96278-2060
 Phone: 01182316612108
 Fax: 01182316616674
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JONGSUNG KIM · (Male)

NPI Number 1134105430
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/19/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 6569
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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