Individual
ANDREW KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 E ANAHEIM ST, WILMINGTON, CA 90744-4516
(424) 210-4400
(424) 368-6683
Mailing address
2550 W MAIN ST STE 301, ALHAMBRA, CA 91801-7003
(626) 457-6900
(626) 457-5022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100615
CA
Other
Enumeration date
05/04/2015
Last updated
09/10/2019
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