Kyuwan Kim
Dentist, General Practice in Rosemead, CA. Individual provider (NPI-1).
NPI number1962064675
StatusActive
Last updated in NPPESOct 22, 2024
Details
- NPI
- 1962064675
- Entity type
- Individual (NPI-1)
- Name
- Kyuwan Kim
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2019
- Certification date
- Oct 22, 2024
- Last updated
- Oct 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 1255638284 | CA | Yes |
Practice location
9428 Valley Blvd Ste 101Rosemead, CA 91770-1514
Phone 213-256-6133
Mailing address
Po Box 10059Bakersfield, CA 93389-0059
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All 47 General Practice Dentistry providers in Rosemead · All 1,136 providers in Rosemead
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