Individual
CHAE JIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3760 W MCFADDEN AVE STE D, SANTA ANA, CA 92704-1392
(657) 231-6106
Mailing address
16570 FERN HAVEN RD, HACIENDA HEIGHTS, CA 91745-3708
(949) 677-1348
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
106984
CA
Other
Enumeration date
09/21/2021
Last updated
10/07/2021
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