Changsook Kim DDS a Dental Corp
NPI #1710018254 in Duarte, California
Provider Information
- NPI Number
- 1710018254
- Entity Type
- Organization
- Organization Name
- Changsook Kim DDS a Dental Corp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Jul 11, 2008
Practice Location
- Address
- 1755 E HUNTINGTON DR
- Address 2
- #101
- City
- Duarte
- State
- California
- ZIP Code
- 91010
- Phone
- (626) 357-9909
Authorized Official
- Name
- CHANGSOOK KIM, DDS
- Title
- DENTIST
- Phone
- (626) 357-9909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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