Individual
SANG WOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 S GLENDORA AVE STE 220, GLENDORA, CA 91741-6207
(626) 914-4587
Mailing address
410 S GLENDORA AVE STE 220, GLENDORA, CA 91741-6207
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
103541
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2015
Last updated
03/11/2025
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