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Kelly Yeon Su Kim, DDS
Pediatric Dentist in Laguna Niguel, California
NPI 1053625715

Kelly Yeon Su Kim is a Pediatric Dentist based in Laguna Niguel, CA and is specialized in Pediatric Dentistry. Kelly Yeon Su Kim practices in Laguna Niguel, CA and has the professional credentials of DDS. The NPI Number for Kelly Yeon Su Kim is 1053625715 and holds a License No. 58075 (California).

The current practice location address for Kelly Yeon Su Kim is 30001 Crown Valley Pkwy, Laguna Niguel, CA and can be reached out via phone at 949-495-4245.

Location: 30001 Crown Valley Pkwy, Laguna Niguel, CA, 92677-1723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053625715
Provider Name
Kelly Yeon Su Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
30001 Crown Valley Pkwy, Laguna Niguel, CA, 92677-1723
Phone Number
949-495-4245
Fax Number
Provider Enumeration Date
08/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30001 Crown Valley Pkwy
City
Laguna Niguel
State
California
Zip
92677-1723
Phone Number
949-495-4245
Fax Number
person
Provider Business Mailing Address Details
Address
30001 Crown Valley Pkwy
City
Laguna Niguel
State
California
Zip
92677-1723
Phone Number
949-495-4245
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
58075 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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