KI WAN KIM

OCEANSIDE, CA
NPI1689961120
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: CA  63507)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2011-07-05
Last Update Date2014-11-14
Business Address
Dr. KI WAN KIM D.D.S.
3601 VISTA WAY SUITE #202
OCEANSIDE, CA 92056-4559
Phone number: 760-439-1871
Mailing Address
Dr. KI WAN KIM D.D.S.
3601 VISTA WAY SUITE #202
OCEANSIDE, CA 92056-4559
Phone number: