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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. YONG SOO KIM, DDS

Active Sole Proprietor

DR. YONG SOO KIM, DDS is a General Dentistry healthcare provider located in FORT IRWIN, California. NPI 1265684161 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FORT IRWIN, CA

Registration Details

NPI Number
1265684161
Provider Type
Individual
Gender
Male
NPI Issued
Oct 22, 2008 (17.81666831169 yrs)
Last Updated
Dec 20, 2023
Licenses
7113006 (UT)
7113006-8903 (UT)
7113006-9921 (UT)
Sole Proprietor
Yes

Practice Information

Address
171 INNER LOOP RD
FORT IRWIN, CA, 92310
Browse CA providers · Browse ZIP 92310
Phone
7603803166
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry

Other General Dentistry Providers in FORT IRWIN, CA

Name Credential NPI
DR. GEORGE JOSEPH HUCAL DDS 1528017613
DR. DOLORES LUQUE DMD 1346291663
DR. DOUGLAS NEIL WADE DDS 1649214248
DR. MICHAEL LEE JOHNSON DDS 1629216726
DR. JOSHUA HYUNGKYU LEE D.D.S. 1245547520
LLOYD A ANCMAN DMD 1861700924
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.