Individual
DR. BRIAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12721 NEWPORT AVE STE 1, TUSTIN, CA 92780-8031
(714) 730-8070
(714) 730-8112
Mailing address
12721 NEWPORT AVE STE 1, TUSTIN, CA 92780-8031
(714) 730-8070
(714) 730-8112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
50765
CA
1223G0001X
General Practice Dentistry
Primary
50765
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
50765
CA
Other
Enumeration date
04/13/2007
Last updated
10/08/2025
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