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Dr. Charles Chanwoong Kim, DDS
General Practice Dentistry in Waterford, California
NPI 1447523568

Charles Chanwoong Kim is a General Practice Dentistry based in Waterford, CA and is specialized in General Practice. Charles Chanwoong Kim practices in Waterford, CA and has the professional credentials of DDS. The NPI Number for Charles Chanwoong Kim is 1447523568 and holds a License No. 61112 (California).

The current practice location address for Charles Chanwoong Kim is 12142 Yosemite Blvd, Waterford, CA and can be reached out via phone at 209-874-2337 and via fax at 209-874-9822.

Location: 12142 Yosemite Blvd, Waterford, CA, 95386-9163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447523568
Provider Name
Charles Chanwoong Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
12142 Yosemite Blvd, Waterford, CA, 95386-9163
Phone Number
209-874-2337
Fax Number
209-874-9822
Provider Enumeration Date
02/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12142 Yosemite Blvd
City
Waterford
State
California
Zip
95386-9163
Phone Number
209-874-2337
Fax Number
209-874-9822
person
Provider Business Mailing Address Details
Address
12142 Yosemite Blvd
City
Waterford
State
California
Zip
95386-9163
Phone Number
209-874-2337
Fax Number
209-874-9822
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
61112 (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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