Individual
DR. CHUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
180 E 4TH ST STE A, PERRIS, CA 92570-2125
(951) 657-3102
(951) 657-7783
Mailing address
180 E 4TH ST STE A, PERRIS, CA 92570-2125
(951) 657-3102
(951) 657-7783
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23935
CA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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