Kim, Pyo Jae

Kim, Pyo Jae is an sole proprietor health care provider with primary practice located at 805 Sandalwood Dr , Troy MI 48085-1643. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Kim, Pyo Jae can be contacted via phone (213) 400-2614.

Contact Information

Primary practice address
805 Sandalwood Dr Troy MI 48085-1643
Phone: (213) 400-2614
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 2901600680 Michigan

Profile Details

NPI number 1659991107
LBN Legal business name Kim, Pyo Jae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2020
Last updated Jan 19th, 2021 - about 5 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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