Individual
HAN S. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755-7081
(310) 993-1836
Mailing address
1040 FLYNN RD, CAMARILLO, CA 93012-5092
(805) 673-3930
(805) 659-3217
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
65331
CA
1223P0300X
Periodontics
Primary
65331
CA
Other
Enumeration date
08/10/2016
Last updated
08/19/2025
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