Individual provider · Type 1 NPI

Grace Kim, DDS

Pediatric Dentistry · Cypress, CA

NPI number 1205565629 Active

Practice location

5155 Katella Ave Apt 309
Cypress, CA 90720-2957

Call (860) 405-5915 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDDS109657 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1205565629

Grace Kim, DDS's National Provider Identifier is 1205565629, issued on Jun 9, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Cypress, CA. The record was last updated on Jul 31, 2025.