Individual
HEOIJIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1701 W IMPERIAL HWY STE B, LA HABRA, CA 90631-0604
(562) 690-5729
Mailing address
3540 WILSHIRE BLVD APT 1109, LOS ANGELES, CA 90010-3942
(718) 757-0383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7566
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS109935
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NV
Other
Enumeration date
02/05/2021
Last updated
05/07/2024
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