Individual provider · Type 1 NPI

Jisoo Kim

Dentist · San Jose, CA

NPI number 1013796309 Active

Practice location

1628 Hostetter Rd Ste J
San Jose, CA 95131-3309

Mailing address

1887 Greenfield Ave Apt 310
Los Angeles, CA 90025-4416

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X109428 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1013796309

Jisoo Kim's National Provider Identifier is 1013796309, issued on Sep 26, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Jose, CA. The record was last updated on Sep 26, 2023.