Organization
CHUNG KIM DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUNG KIM D.D.S. (PRESIDENT)
(949) 838-4733
Entity
Organization
Contact information
Practice address
204 E WARNER AVE STE 104, SANTA ANA, CA 92707-3277
(714) 641-2939
(714) 641-2868
Mailing address
204 E WARNER AVE STE 104, SANTA ANA, CA 92707-3277
(714) 641-2939
(714) 641-2868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93974-01
DENTI-CAL
CA
Enumeration date
08/14/2007
Last updated
08/14/2007
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