Search › California › General Practice Dentistry
Chanyoung Kim
NPI 1811668122 · on the registry since 2021 · sole proprietor
Practice
- Address
- 25022 Prospect Ave Apt B
Loma Linda, CA 92354 - Phone
- (951) 776-6037
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California