Audrey Borahm Kim, DDS

NPI #1386250355 in Camp Pendleton, California

Provider Information

NPI Number: 1386250355
Entity Type: Individual
Name: Audrey Borahm Kim, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 16, 2020
Last Updated: Sep 16, 2020

Practice Location

Address: 1ST DENTAL BATTALION/NAVAL DENTAL CENTER
Address 2: ATTN: MEDICAL STAFF SVES; BLDG 2238 A AVE
City: Camp Pendleton
State: California
ZIP Code: 92055-5221
Phone: (818) 939-1914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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