Individual
DR. ANNE SOOYUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
501 WASHINGTON ST STE 740, SAN DIEGO, CA 92103-2231
(619) 296-2172
(619) 296-2178
Mailing address
19333 BEAR VALLEY RD, SUITE 205, APPLE VALLEY, CA 92308-5148
(760) 247-4155
(760) 247-4955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55536
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275654501
—
CA
Enumeration date
04/03/2007
Last updated
04/26/2021
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