Individual provider · Type 1 NPI

Grace Kim

General Practice Dentistry · San Pedro, CA

NPI number 1538052196 Active

Practice location

425 S Pacific Ave
San Pedro, CA 90731-2625

Call (310) 547-0202 Map

Mailing address

205D Evans St Apt 4
Buffalo, NY 14221-5618

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X111597 (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.

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About NPI 1538052196

Grace Kim's National Provider Identifier is 1538052196, issued on Jun 2, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Pedro, CA. The record was last updated on Jun 2, 2025.