Individual
ANDREW H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1655 E THOUSAND OAKS BLVD, STE 204, THOUSAND OAKS, CA 91362-2800
(805) 449-2552
Mailing address
1655 E THOUSAND OAKS BLVD, STE 204, THOUSAND OAKS, CA 91362-2800
(805) 449-2552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41744
CA
Other
Enumeration date
11/14/2007
Last updated
11/15/2011
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