Individual
ANGELA EUNKYUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
230 E 17TH ST, 208, COSTA MESA, CA 92627-3824
(949) 645-0045
(949) 645-0055
Mailing address
230 E 17TH ST, 208, COSTA MESA, CA 92627-3824
(949) 645-0045
(949) 645-0055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
56443
CA
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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