Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER KEEWAHN KIM, DDS
Active Sole ProprietorDR. PETER KEEWAHN KIM, DDS is a Dentist healthcare provider located in SAN JACINTO, California. NPI 1417554411 is currently active in the NPPES registry. Verify at CMS.
Dentist · SAN JACINTO, CA
Registration Details
- NPI Number
- 1417554411
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2020 (5.9034872558216 yrs)
- Last Updated
- Oct 3, 2020
- License
-
105646 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1643 S SAN JACINTO AVE STE 100&101SAN JACINTO, CA, 925835181Browse CA providers · Browse ZIP 92583
- Phone
- 9516547744
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SAN JACINTO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT LEE HORNE | DDS | 1043642879 |
| DR. JOSE LUIS VILLA JR. | DDS | 1063973949 |
| NARDEEN BOULOS | DMD | 1679190342 |
| DR. DIVYANA RAMJI BARIA | DDS | 1851985014 |
| ISMAEL SIKANDER NAWAZ | DDS | 1891412250 |
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.