Individual provider · Type 1 NPI

Dongyeon Kim

Pediatric Dentistry · Union, MO

NPI number 1295224418 Active

Practice location

1780 Old Highway 50 E
Union, MO 63084-3219

Mailing address

2290 Daniels St
Manteca, CA 95337-6706

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDDS107522 (CA)
Pediatric Dentistry 1223P0221XDDS107522 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221X2023005564 (MO)

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.

50 other providers at this address

About NPI 1295224418

Dongyeon Kim's National Provider Identifier is 1295224418, issued on May 2, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Union, MO. The record was last updated on Apr 16, 2023.