Individual provider · Type 1 NPI
Charles Chanwoong Kim, DDS
General Practice Dentistry · Waterford, CA
NPI number
1447523568
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
About NPI 1447523568
Charles Chanwoong Kim, DDS's National Provider Identifier is 1447523568, issued on Feb 21, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Waterford, CA. The record was last updated on Mar 1, 2016.