Individual
BOMY J SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204806
CO
Other
Enumeration date
06/26/2021
Last updated
06/26/2021
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