Individual
DR. SHIWOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1502 W ARTESIA SQ APT B, GARDENA, CA 90248-4761
(213) 590-5686
Mailing address
15823 WESTMINSTER WAY, N SHORELINE, WA 98113-4761
(213) 590-5686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS100351
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE61424421
WA
Other
Enumeration date
11/07/2016
Last updated
01/26/2024
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