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Ellen Kim, DMD,MSD
Orthodontics and Dentofacial Orthopedic Dentist in Anaheim, California
NPI 1588387518

Ellen Kim is a Orthodontics and Dentofacial Orthopedic Dentist based in Anaheim, CA and is specialized in Orthodontics and Dentofacial Orthopedics. Ellen Kim practices in Anaheim, CA and has the professional credentials of DMD,MSD. The NPI Number for Ellen Kim is 1588387518 and holds a License No. 108112 (California).

The current practice location address for Ellen Kim is 3062 W Coolidge Ave Apt 1, Anaheim, CA and can be reached out via phone at 562-405-4997.

Location: 3062 W Coolidge Ave Apt 1, Anaheim, CA, 92801-6110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588387518
Provider Name
Ellen Kim
Credential
DMD,MSD
Provider Entity Type
Individual
Gender
Female
Address
3062 W Coolidge Ave Apt 1, Anaheim, CA, 92801-6110
Phone Number
562-405-4997
Fax Number
Provider Enumeration Date
09/23/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
108112 01 CA CALIFORNIA DENTAL BOARD
institution
Provider Business Practice Location Address Details
Address
3062 W Coolidge Ave Apt 1
City
Anaheim
State
California
Zip
92801-6110
Phone Number
562-405-4997
Fax Number
person
Provider Business Mailing Address Details
Address
3062 W Coolidge Ave Apt 1
City
Anaheim
State
California
Zip
92801-6110
Phone Number
562-405-4997
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
108112 (California)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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