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Dr. Charles Kim, DDS

Dentist, General Practice in Fremont, CA. Individual provider (NPI-1).

NPI number1124969167
StatusActive
Last updated in NPPESApr 3, 2026

Details

NPI
1124969167
Entity type
Individual (NPI-1)
Name
Dr. Charles Kim
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Apr 3, 2026
Certification date
Apr 3, 2026
Last updated
Apr 3, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice112801CAYes

Practice location

104 Black Mountain Cir
Fremont, CA 94536-6507

Phone 510-386-7245

Mailing address

104 Black Mountain Cir
Fremont, CA 94536-6507

Phone 510-386-7245

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