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Individual

ALEX S KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD,MAGD,FICOI

Contact information

Practice address
8899 UNIVERSITY CENTER LN STE 180, SAN DIEGO, CA 92122-1035
(858) 452-3636
Mailing address
8899 UNIVERSITY CENTER LN STE 180, SAN DIEGO, CA 92122-1035
(858) 216-2147

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS100219
CA

Other

Enumeration date
12/17/2014
Last updated
02/07/2021
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