Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES CHANWOONG KIM, D.D.S.
ActiveDR. CHARLES CHANWOONG KIM, D.D.S. is a General Dentistry healthcare provider located in WATERFORD, California. NPI 1447523568 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WATERFORD, CA
Registration Details
- NPI Number
- 1447523568
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2012 (14.485333147923 yrs)
- Last Updated
- Mar 1, 2016
- License
-
61112 (CA)
Practice Information
- Address
-
12142 YOSEMITE BLVDWATERFORD, CA, 953869163Browse CA providers · Browse ZIP 95386
- Phone
- 2098742337
- Fax
- 2098749822
- Primary Specialty
-
General Dentistry
1223G0001X
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.