# Y. C. KIM DENTAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467817767
- **Authorized official:** YONG KIM DDS (PRESIDENT)
- **Authorized official phone:** (702) 419-6906

## Contact information

- **Practice address:** 655 NEW YORK RANCH RD, SUITE 1, JACKSON, CA 95642-9386
- **Practice address phone:** (209) 223-3992
- **Mailing address:** 1465 LIVE OAK BLVD, YUBA CITY, CA 95991-2920
- **Mailing address phone:** (530) 673-1401
- **Mailing address fax:** (530) 673-1466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 50621 | CA | Yes |

## Other

- **Enumeration date:** 12/31/2015
- **Last updated:** 12/31/2015