Individual
ALEXANDER MINSOK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
21031 CONSTITUTION DR # 101, CALIFORNIA CITY, CA 93505-3013
(760) 373-1950
Mailing address
510 SHADE TREE LN, FULLERTON, CA 92831-1879
(631) 514-9689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105630
CA
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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