Whalio Doctors

NPI 1699440347

Jay Kim, DMD

Practitioner General Practice Dentistry Agana Heights, GU

Practice location

Address
U.S. Naval Hospital Guam Bldg 50, Farenholt Ave, Agana Heights, GU 96910
Phone
(671) 344-9340
Mailing address
Psc 455 Box 208, Fpo, AP 96540-0003

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 0401417592 (VA)

Registry record

NPI
1699440347
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Aug 2021
Record last updated
19 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.