Individual provider · Type 1 NPI
Sang Woo Kim
Oral and Maxillofacial Surgery (Dentist) · Glendora, CA
NPI number
1861889347
Active
Practice location
410 S Glendora Ave Ste 220
Glendora, CA 91741-6207
Other practice locations
- 5323 Harry Hines Blvd, Dallas, TX 75390-3552 · (214) 590-8000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 103541 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Glendora
About NPI 1861889347
Sang Woo Kim's National Provider Identifier is 1861889347, issued on Apr 22, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Glendora, CA. The record was last updated on Mar 11, 2025.