Organization · Type 2 NPI

Charles C. Kim, D.d.s., Inc.

General Practice Dentistry · Waterford, CA

NPI number 1437503356 Active

Practice location

12142 Yosemite Blvd
Waterford, CA 95386-9163

Fax (209) 874-9822

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	61112 (CA)

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.

2 other providers at this address

NPI record

NPI: 1437503356
Entity type: Organization (Type 2)
Issued: Apr 18, 2016
Last updated: Apr 18, 2016
Status: Active

Other names

<unavail>
Waterford Family Dentist, Dental Practice of Dr. Charles C. Kim, DDS · doing business as

Authorized official

Dr. Charles Chanwoong Kim, DDS
CEO, Owner
(209) 874-2337

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1437503356

Charles C. Kim, D.d.s., Inc.'s National Provider Identifier is 1437503356, issued on Apr 18, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Waterford, CA. The record was last updated on Apr 18, 2016.