Grace Mijin Kim, DDS

General Practice Dentistry · Glendora, CA

Individual Active NPI

NPI number 1356641922

Practice location

1770 S Barranca Ave
Glendora, CA 91740-5421
Phone
(626) 339-4600
Fax
(626) 339-4099

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NPI record

NPI
1356641922
Entity type
Individual (Type 1)
Enumeration date
October 28, 2010
Last updated
July 16, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 58445 CA

About Dr. Kim

Grace Mijin Kim, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1770 S Barranca Ave, Glendora, CA 91740-5421. The NPI number 1356641922 was assigned on October 28, 2010 and the record was last updated on July 16, 2015.

Dr. Kim lists a license in the registry: #58445 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Grace Mijin Kim, DDS?

The NPI number is 1356641922.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (626) 339-4600.

Where is Dr. Kim located?

1770 S Barranca Ave, Glendora, CA 91740-5421.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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