Individual
DR. ROSE E KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
39025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273749
UNITED CONCORDIA
CA
01
—
954652626
GOLDEN WEST
CA
Enumeration date
02/16/2007
Last updated
02/05/2008
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