person
Rick Tae Kim, DDS
General Practice Dentistry in Lakewood, California
NPI 1124156427

Rick Tae Kim is a General Practice Dentistry based in Cerritos, CA and is specialized in General Practice. Rick Tae Kim practices in Lakewood, CA and has the professional credentials of DDS. The NPI Number for Rick Tae Kim is 1124156427 and holds a License No. 48622 (California).

The current practice location address for Rick Tae Kim is 21012 Norwalk Blvd, Lakewood, CA and can be reached out via phone at 562-860-8828 and via fax at 562-869-0444.

Location: 21012 Norwalk Blvd, Lakewood, CA, 90703-1329
person
Provider Profile Details
NPI Number
1124156427
Provider Name
Rick Tae Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
21012 Norwalk Blvd, Lakewood, CA, 90703-1329
Phone Number
562-860-8828
Fax Number
562-869-0444
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G92417-01 01 CA DENTI-CAL
G92789-01 01 CA DENTI-CAL
institution
Provider Business Practice Location Address Details
Address
21012 Norwalk Blvd
City
State
Zip
90715-1503
Phone Number
562-860-8828
Fax Number
562-869-0444
person
Provider Business Mailing Address Details
Address
21012 Norwalk Blvd
City
State
Zip
90715-1503
Phone Number
562-860-8828
Fax Number
562-869-0444
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
48622 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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