# A.S. KIM DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Village Hillcrest Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730639188
- **Authorized official:** DR. ANNE SOOYUN KIM DDS (CEO)
- **Authorized official phone:** (734) 657-9694

## Contact information

- **Practice address:** 501 WASHINGTON ST STE 740, SAN DIEGO, CA 92103-2231
- **Practice address phone:** (619) 296-2172
- **Mailing address:** 3915 LA CRESTA WAY, BONITA, CA 91902-2575
- **Mailing address phone:** (734) 657-9694
- **Mailing address fax:** (619) 296-2178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 55536 | CA | Yes |

## Other

- **Enumeration date:** 10/10/2016
- **Last updated:** 04/26/2021