Chanyoung Kim Valid NPI
Individual provider · General Practice Dentistry · Loma Linda, CA
- NPI
- 1811668122
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 106313 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-09-26
- Last updated
- 2021-09-26
Practice location
25022 Prospect Ave Apt B
Loma Linda, CA 92354-2955
(951) 776-6037