Most Relevant Information
Provider Data
| NPI Number: | 1003035114 |
| Provider Name: | KWANG SEOB KIM D.D.S |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 50479 |
Most Important Dates
| Enumeration Date: | 04/25/2007 |
| Last Updated: | 03/15/2019 |
Provider Practice Location
18250 COLIMA RD
201
ROWLAND HEIGHTS
CA
917482602
Practice Location Phone/Fax
| Phone: | 6269642875 |
| Fax: | 6269641033 |
Provider Mailing Location
4022 SANTA ANITA LN
YORBA LINDA
CA
92886
Provider Mailing Phone/Fax
| Phone: | 9093195777 |
| Fax: |