Kelly Yeon Su Kim, D.D.S is a pediatric dentistry dentist in Laguna Niguel, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Kelly Yeon Su Kim, D.D.S NPI is 1053625715. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
30001 CROWN VALLEY PKWY
SUITE G
LAGUNA NIGUEL, CA
ZIP 92677-723
Phone: (949) 495-4245
The NPI 1053625715 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 8/4/2010 and was last updated on 6/16/2011.