Individual
DR. DOUGLAS KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2801 W BALL RD, SUITE 10, ANAHEIM, CA 92804-4900
(714) 527-5656
Mailing address
2801 W BALL RD, SUITE 10, ANAHEIM, CA 92804-4900
(714) 527-5656
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63129
CA
Other
Enumeration date
11/27/2013
Last updated
04/15/2015
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