Individual
DR. CALVIN S. KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
271 N FAIRVIEW AVE, SUITE 103, GOLETA, CA 93117-6284
(805) 692-5262
(805) 692-1417
Mailing address
271 N FAIRVIEW AVE, SUITE 103, GOLETA, CA 93117-6284
(805) 692-5262
(805) 692-1417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49911
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49911
CALIFORNIA DENTAL LICENSE
CA
Enumeration date
11/21/2006
Last updated
09/13/2007
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