| Kim & Kim Dds Dental Corporation | |
|
17220 Newhope St Suite 201 Fountain Valley CA 92708-4272 | |
| (714) 549-0911 | |
| (714) 549-9115 |
| Full Name | Kim & Kim Dds Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 17220 Newhope St, Fountain Valley, California |
| Authorized Official Name and Position | Andrew Chun Kim (PRESIDENT) |
| Authorized Official Contact | 7145490911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim & Kim Dds Dental Corporation 17220 Newhope St Suite 201 Fountain Valley CA 92708-4272 Ph: (714) 549-0911 | Kim & Kim Dds Dental Corporation 17220 Newhope St Suite 201 Fountain Valley CA 92708-4272 Ph: (714) 549-0911 |
| NPI Number | 1346579141 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 12/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346579141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42738 (California) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 42748 (California) | Primary |
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