Individual
DR. ELIZABETH GA YEUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
22611 LAKE FOREST DR STE C5, LAKE FOREST, CA 92630
(949) 446-0700
Mailing address
22611 LAKE FOREST DR STE C5, LAKE FOREST, CA 92630-1700
(949) 446-0700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100655
CA
1223G0001X
General Practice Dentistry
100655
CA
Other
Enumeration date
09/21/2016
Last updated
11/12/2018
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