Insoo Kim, DDS Valid NPI
Individual provider · Dentist · Buena Park, CA
- NPI
- 1104094580
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 30377 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2008-02-19
- Last updated
- 2008-02-19
Practice location
8350 Los Coyotes Dr, #A
Buena Park, CA 90621-1073
(714) 522-5565