Organization
DONGHAN KIM, DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONGHAN KIM DDS (OWNER)
(678) 900-5183
Entity
Organization
Contact information
Practice address
8415 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-3893
(679) 900-5183
Mailing address
8415 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-3893
(679) 900-5183
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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