Individual provider · Type 1 NPI

Yong Soo Kim, DDS

General Practice Dentistry · Fort Irwin, CA

NPI number 1265684161 Active

Practice location

171 Inner Loop Rd
Fort Irwin, CA 92310

Mailing address

Shuttleworth Dental Clinic, 171 Inner Loop Rd.
Fort Irwin, CA 92310-5080

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X7113006 (UT)
General Practice Dentistry 1223G0001X7113006-8903 (UT)
General Practice Dentistry Primary 1223G0001X7113006-9921 (UT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4 other providers at this address

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About NPI 1265684161

Yong Soo Kim, DDS's National Provider Identifier is 1265684161, issued on Oct 22, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Irwin, CA. The record was last updated on Dec 20, 2023.