Individual
DR. CHANGSOOK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1755 E HUNTINGTON DR, #101, DUARTE, CA 91010
(626) 357-9909
(626) 358-7245
Mailing address
1755 E HUNTINGTON DR, #101, DUARTE, CA 91010
(626) 357-9909
(626) 358-7245
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39166
CA
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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