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Individual

DR. ERIC KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., D.D.S.

Contact information

Practice address
15785 LAGUNA CANYON RD STE 110, IRVINE, CA 92618-3166
(949) 453-9797
Mailing address
15785 LAGUNA CANYON RD STE 110, IRVINE, CA 92618-3166
(949) 453-9797

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
52624
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A106719
CA

Other

Enumeration date
03/13/2007
Last updated
07/15/2021
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