| Kelly Yeon Su Kim, DDS | |
|
30001 Crown Valley Pkwy, Suite G, Laguna Niguel, CA 92677-1723 | |
| (949) 495-4245 | |
| Not Available |
| Full Name | Kelly Yeon Su Kim |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 30001 Crown Valley Pkwy, Laguna Niguel, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053625715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 58075 (California) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 055114 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Yeon Su Kim, DDS 30001 Crown Valley Pkwy, Suite G, Laguna Niguel, CA 92677-1723 Ph: (949) 495-4245 | Kelly Yeon Su Kim, DDS 30001 Crown Valley Pkwy, Suite G, Laguna Niguel, CA 92677-1723 Ph: (949) 495-4245 |
Dr. Damian Newhart, Dentist Medicare: Not Enrolled in Medicare Practice Location: 25500 Rancho Niguel Rd, Suite #210, Laguna Niguel, CA 92677 Phone: 949-215-0112 | |
Dr. Kenneth F Hinds, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 25500 Rancho Niguel Rd Ste 260, Laguna Niguel, CA 92677 Phone: 949-643-3129 Fax: 949-643-5259 | |
Dr. Ronald Owen Davies, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 28241 Crown Valley Pkwy Pmb 620, Ste. F 620, Laguna Niguel, CA 92677 Phone: 949-362-9690 Fax: 949-448-8858 | |
Dr. Negar Izadi, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 25026 Rancho Clemente, Laguna Niguel, CA 92677 Phone: 310-435-8961 | |
Dr. Sarah Kathryn Belderes, DDS Dentist Medicare: Medicare Enrolled Practice Location: 25500 Rancho Niguel Rd, Ste 210, Laguna Niguel, CA 92677 Phone: 949-215-5500 | |
Maryam Haeri Maybodi, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 30101 Town Center Dr Ste 205, Laguna Niguel, CA 92677 Phone: 949-295-0940 |