DR. Chung Kim, D.D.S.

NPI #1124170717 in Perris, California

Provider Information

NPI Number: 1124170717
Entity Type: Individual
Name: DR. Chung Kim, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jan 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 180 E 4TH ST STE A
City: Perris
State: California
ZIP Code: 92570-2125
Phone: (951) 657-3102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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