Individual
BRIAN SONGSU KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1406 JEFFERSON ST, DELANO, CA 93215-2222
(661) 725-9430
(661) 725-7221
Mailing address
1406 JEFFERSON ST, DELANO, CA 93215-2222
(661) 725-9430
(661) 725-7221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4095501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B4095501
—
CA
Enumeration date
03/14/2007
Last updated
07/09/2007
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