Sooyong Kim DDS

NPI 1063698629 - Dentist - 122300000X

NPI Details
NPI 1063698629
Gender Male
Enumeration Date 01/14/2008
Last Updated 06/30/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
703 N GOLDEN STATE BOULEVARD
WESTERN DENTAL
TURLOCK CA, 95380-0000, US
Phone (209) 634-4053
Fax
Business Location
4313 LIGHTHOUSE AVE
MODESTO CA, 95356-9393, US
Phone (209) 678-8627
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 56461
Remove 1063698629 NPI Number
 

According to our database, Dr. Sooyong Kim DDS NPI is 1063698629, taxonomy code is 122300000X and license number is 56461, license state is located at California. Sooyong Kim DDS physically located at 703 N Golden State Boulevard, Turlock CA, 95380-0000. NPI Number Sooyong Kim DDS has the Individual type.

Sponsored links

1063698629 NPI number is provided on an as is basis without warranty of any kind. 1063698629 is maintained by the National Plan & Provider Enumeration System. The contents of Sooyong Kim DDS are for informational purposes only.