Bomy J Shim, DDS
Dentist in San Diego, CA. Individual provider (NPI-1).
NPI number1760052476
StatusActive
Last updated in NPPESJun 26, 2021
Details
- NPI
- 1760052476
- Entity type
- Individual (NPI-1)
- Name
- Bomy J Shim
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2021
- Certification date
- Jun 26, 2021
- Last updated
- Jun 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DEN.00204806 | CO | Yes |
Practice location
34800 Bob Wilson DrSan Diego, CA 92134-1098
Phone 619-532-6400
Mailing address
34800 Bob Wilson DrSan Diego, CA 92134-1098
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