Individual provider · Type 1 NPI
Samuel Junwon Kim
Dentist · Altadena, CA
Practice location
2095 Lincoln Ave # 201
Altadena, CA 91001-5478
Mailing address
2552 E Crane Ct
Ontario, CA 91761-8587
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 113196 (CA) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1861186165
Samuel Junwon Kim's National Provider Identifier is 1861186165, issued on Jun 8, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Altadena, CA. The record was last updated on Jun 23, 2026.