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Dr. Ki Wan Kim, DDS
Endodontist in Oceanside, California
NPI 1689961120

Ki Wan Kim is a Endodontist based in Oceanside, CA and is specialized in Endodontics. Ki Wan Kim practices in Oceanside, CA and has the professional credentials of DDS. The NPI Number for Ki Wan Kim is 1689961120 and holds a License No. (California).

The current practice location address for Ki Wan Kim is 3601 Vista Way, Oceanside, CA and can be reached out via phone at 760-439-1871.

Location: 3601 Vista Way, Oceanside, CA, 92056-4559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689961120
Provider Name
Ki Wan Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3601 Vista Way, Oceanside, CA, 92056-4559
Phone Number
760-439-1871
Fax Number
Provider Enumeration Date
07/05/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3601 Vista Way
City
Oceanside
State
California
Zip
92056-4559
Phone Number
760-439-1871
Fax Number
person
Provider Business Mailing Address Details
Address
3601 Vista Way
City
Oceanside
State
California
Zip
92056-4559
Phone Number
760-439-1871
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
63507 (California)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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