Most Relevant Information
Provider Data
| NPI Number: | 1003531104 |
| Provider Name: | HA EUN KIM DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 108243 |
Most Important Dates
| Enumeration Date: | 10/11/2022 |
| Last Updated: | 10/11/2022 |
Provider Practice Location
12625 FREDERICK ST STE F4
MORENO VALLEY
CA
925535234
Practice Location Phone/Fax
| Phone: | 9516977750 |
| Fax: |
Provider Mailing Location
11770 RANDOLPH CT
LOMA LINDA
CA
923544188
Provider Mailing Phone/Fax
| Phone: | 9094886723 |
| Fax: |