Individual
DR. EUGENE Y KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4950 BARRANCA PKWY STE 105, IRVINE, CA 92604-4630
(949) 551-4242
Mailing address
18605 CECELIA WAY, CERRITOS, CA 90703-6136
(562) 484-1229
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6831
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
104751
CA
Other
Enumeration date
08/05/2017
Last updated
08/26/2020
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