Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY YEON SU KIM, D.D.S
ActiveKELLY YEON SU KIM, D.D.S is a Pediatric Dentistry healthcare provider located in LAGUNA NIGUEL, California. NPI 1053625715 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LAGUNA NIGUEL, CA
Registration Details
- NPI Number
- 1053625715
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2010 (16.058265668728 yrs)
- Last Updated
- Jun 16, 2011
- Licenses
-
58075 (CA)055114 (NY)
Practice Information
- Address
-
30001 CROWN VALLEY PKWYSUITE GLAGUNA NIGUEL, CA, 926771723Browse CA providers · Browse ZIP 92677
- Phone
- 9494954245
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in LAGUNA NIGUEL, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SAHAR DOOSTZADEH | D.M.D | 1447694260 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.