Individual
HEIDI WEIZHANG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
906 S SUNSET AVE STE 105, WEST COVINA, CA 91790-3400
(626) 480-1543
Mailing address
3712 AVENUE SAUSALITO, IRVINE, CA 92606-1849
(202) 701-0602
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
106286
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2018
Last updated
07/07/2021
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