Chung Kim, D.D.S.

Dentist · Perris, CA

Individual Active NPI

NPI number 1124170717

Practice location

180 E 4TH St Ste a
Perris, CA 92570-2125
Phone
(951) 657-3102
Fax
(951) 657-7783

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NPI record

NPI
1124170717
Entity type
Individual (Type 1)
Enumeration date
January 17, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 23935 CA

About Dr. Kim

Chung Kim, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 180 E 4TH St Ste a, Perris, CA 92570-2125. The NPI number 1124170717 was assigned on January 17, 2007 and the record was last updated on July 8, 2007.

Dr. Kim lists a license in the registry: #23935 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Chung Kim, D.D.S.?

The NPI number is 1124170717.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (951) 657-3102.

Where is Dr. Kim located?

180 E 4TH St Ste a, Perris, CA 92570-2125.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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