Donghwan Kim, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Sanger, CA. Individual provider (NPI-1).
NPI number1164082483
StatusActive
Last updated in NPPESSep 1, 2026
Details
- NPI
- 1164082483
- Entity type
- Individual (NPI-1)
- Name
- Donghwan Kim
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2019
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 103804 | CA | Yes |
Practice location
1570 7th StSanger, CA 93657-2402
Phone 800-492-4227
Mailing address
2940 W Tyler AveVisalia, CA 93291-6567
Phone 559-331-9502
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