Organization
KIM & KIM DDS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CHUN KIM (PRESIDENT)
(714) 549-0911
Entity
Organization
Contact information
Practice address
17220 NEWHOPE ST, SUITE 201, FOUNTAIN VALLEY, CA 92708-4272
(714) 549-0911
(714) 549-9115
Mailing address
17220 NEWHOPE ST, SUITE 201, FOUNTAIN VALLEY, CA 92708-4272
(714) 549-0911
(714) 549-9115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
42738
CA
1223P0221X
Pediatric Dentistry
Primary
42748
CA
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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