Individual
CHARLES SHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3288 E ANAHEIM ST, LONG BEACH, CA 90804-3818
(213) 219-7635
Mailing address
3288 E ANAHEIM ST, LONG BEACH, CA 90804-3818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56225
CA
1223G0001X
General Practice Dentistry
56225
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2007
Last updated
12/02/2014
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