Organization
CHUNG KIM DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUNG KIM DDS (PRESIDENT)
(951) 657-3102
Entity
Organization
Contact information
Practice address
180 E 4TH ST, SUITE A, PERRIS, CA 92570-2125
(951) 657-3102
(951) 657-7783
Mailing address
180 E 4TH ST, SUITE A, PERRIS, CA 92570-2125
(951) 657-3102
(951) 657-7783
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23935
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23935-01
MEDICAL
CA
Enumeration date
05/17/2007
Last updated
04/17/2013
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