Kim, Jesse Gawsung

Kim, Jesse Gawsung is an individual health care provider with primary practice located at 7190 Davenport Rd Apt 110 , Goleta CA 93117-2932. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Kim, Jesse Gawsung can be contacted via phone (408) 497-0161.

Contact Information

Primary practice address
7190 Davenport Rd Apt 110 Goleta CA 93117-2932
Phone: (408) 497-0161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 60554 California
Dental Providers / General Practice 1223G0001X 60554 California

Profile Details

NPI number 1023398344
LBN Legal business name Kim, Jesse Gawsung
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2011
Last updated Jul 3rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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