Most Relevant Information
Provider Data
| NPI Number: | 1003507633 |
| Provider Name: | JONATHAN KIM DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 110273 |
Most Important Dates
| Enumeration Date: | 05/16/2023 |
| Last Updated: | 11/08/2024 |
Provider Practice Location
2050 EL CAJON BLVD
SAN DIEGO
CA
921041007
Practice Location Phone/Fax
| Phone: | 6196379774 |
| Fax: |
Provider Mailing Location
11778 CARMEL CREEK RD APT 203
SAN DIEGO
CA
921306606
Provider Mailing Phone/Fax
| Phone: | 8589253064 |
| Fax: |