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Soodong Kim, DDS
General Practice Dentistry in San Bernardino, California
NPI 1689720740

Soodong Kim is a General Practice Dentistry based in Glendale, CA and is specialized in General Practice. Soodong Kim practices in San Bernardino, CA and has the professional credentials of DDS. The NPI Number for Soodong Kim is 1689720740 and holds a License No. 38859 (California).

The current practice location address for Soodong Kim is 1728 N D St, San Bernardino, CA and can be reached out via phone at 909-886-0087 and via fax at 909-886-3533.

Location: 1728 N D St, San Bernardino, CA, 91208-2076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689720740
Provider Name
Soodong Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1728 N D St, San Bernardino, CA, 91208-2076
Phone Number
909-886-0087
Fax Number
909-886-3533
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B38859-01 01 CA CALIFORNIA HEALTHY FAMILY
G94047-01 05 CA
institution
Provider Business Practice Location Address Details
Address
1728 N D St
City
San Bernardino
State
California
Zip
92405-4418
Phone Number
909-886-0087
Fax Number
909-886-3533
person
Provider Business Mailing Address Details
Address
1728 N D St
City
San Bernardino
State
California
Zip
92405-4418
Phone Number
909-886-0087
Fax Number
909-886-3533
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
38859 (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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