Individual
ANTHONY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8502 KENDRA LN, CORONA, CA 92880-3783
(951) 808-4569
(831) 754-1000
Mailing address
7154 MAGNOLIA AVE, RIVERSIDE, CA 92504-3804
(831) 869-1851
(831) 754-1000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48930
CA
Other
Enumeration date
07/14/2006
Last updated
11/30/2007
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