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

MICHAEL KIM

Active Sole Proprietor

MICHAEL KIM is a General Dentistry healthcare provider located in RANCHO CUCAMONGA, California. NPI 1679248850 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · RANCHO CUCAMONGA, CA

Registration Details

NPI Number
1679248850
Provider Type
Individual
Gender
Male
NPI Issued
Aug 10, 2021 (4.8260892971648 yrs)
Last Updated
Aug 10, 2021
License
106817 (CA)
Sole Proprietor
Yes

Practice Information

Address
12455 VICTORIA GARDENS LN
RANCHO CUCAMONGA, CA, 917397530
Browse CA providers · Browse ZIP 91739
Phone
9096463057
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in RANCHO CUCAMONGA, CA

Name Credential NPI
DR. DAN X NGUYEN D.D.S. 1043204589
DR. VILLAMOR R. USITA D.D.S. 1366417859
JAY R AYASS DDS 1487614822
DR. EHAB N. ATEIA D.D.S. 1194750521
DR. MANISHA S DESAI DDS 1396751335
SEKHAR N CHAKKA DDS 1447268305
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.