Rick Tae Kim, DDS Valid NPI
Individual provider · General Practice Dentistry · Lakewood, CA
- NPI
- 1124156427
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 48622 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-01
- Last updated
- 2007-07-08
Practice location
21012 Norwalk Blvd
Lakewood, CA 90715-1503
(562) 860-8828