Dr. Charles Kim, D.D.S
Dentist in Cerritos, CA. Individual provider (NPI-1).
NPI number1427467331
StatusActive
Last updated in NPPESAug 5, 2014
Details
- NPI
- 1427467331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Kim
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2014
- Last updated
- Aug 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 63819 | CA | Yes |
Practice location
18605 Cecelia WayCerritos, CA 90703-6136
Phone 562-484-1228
Mailing address
18605 Cecelia WayCerritos, CA 90703-6136
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