Individual
ANDREA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2229 SANTA CLARA AVE, ALAMEDA, CA 94501-4472
(510) 521-3300
Mailing address
1700 SUNSET LN, FULLERTON, CA 92833-1733
(714) 743-6039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
111823
CA
Other
Enumeration date
08/01/2025
Last updated
08/27/2025
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