Individual
AUGUSTINE SANG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18 GLORIETA W, IRVINE, CA 92620-1850
(213) 434-4332
Mailing address
18 GLORIETA W, IRVINE, CA 92620-1850
(213) 434-4332
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
59592
CA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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