Individual
DR. INA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1598 WASHINGTON AVE, SAN LEANDRO, CA 94577-4465
(510) 545-4588
Mailing address
1107 POLYNESIA DR, FOSTER CITY, CA 94404-1724
(415) 407-5417
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
57449
CA
Other
Enumeration date
08/21/2008
Last updated
11/19/2012
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