CHANGSOOK KIM DDS A DENTAL CORP NPI 1710018254

NPI Information

CHANGSOOK KIM DDS A DENTAL CORP is a general practice dentist in Duarte, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CHANGSOOK KIM DDS A DENTAL CORP NPI is 1710018254. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1755 E HUNTINGTON DR
#101
DUARTE, CA
ZIP 91010
Phone: (626) 357-9909
Fax: (626) 358-7245

The provider's authorized official is Changsook Kim .
The authorized official title is Dentist and has the following contact phone number (626) 357-9909.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 7/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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