| Sungho Kim Dds Inc | |
|
663 N Westwood St B Porterville CA 93257-6930 | |
| (559) 781-3641 | |
| (559) 781-3690 |
| Full Name | Sungho Kim Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 663 N Westwood St, Porterville, California |
| Authorized Official Name and Position | Sungho Kim (PRESIDENT) |
| Authorized Official Contact | 9095282462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sungho Kim Dds Inc 663 N Westwood St B Porterville CA 93257-6930 Ph: (559) 781-3641 | Sungho Kim Dds Inc 663 N Westwood St B Porterville CA 93257-6930 Ph: (559) 781-3641 |
| NPI Number | 1730412644 |
|---|---|
| Provider Enumeration Date | 09/09/2009 |
| Last Update Date | 09/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730412644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 55848 (California) | Primary |
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