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Individual

DR. CHAI YOON KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MSD

Contact information

Practice address
320 SYCAMORE AVE STE 60, VISTA, CA 92083-7797
(919) 601-0564
Mailing address
50 MALDEN ST APT 106, BOSTON, MA 02118-2888

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS107440
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
RESIDENT
MA

Other

Enumeration date
07/28/2019
Last updated
07/28/2022
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