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NPI Code Detail

MEDICARE: MR. YUSEOK KIM DDS

MEDICARE:  MR. YUSEOK  KIM  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry51089CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G9361701OTHERCADENTI CAL

General Provider Information

NPI Number : 1588705891
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. YUSEOK KIM DDS
Provider Business Mailing Address
First Line : 1518 NILES STREET
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93305-4806
Country : US
Telephone Number : 661-326-0766
Fax Number : 661-326-6482
Provider Business Practice Location Address
First Line : 1518 NILES STREET
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93305-4806
Country : US
Telephone Number : 661-326-0766
Fax Number : 661-326-6482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 07/08/2007

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Directions to “ MR. YUSEOK KIM DDS” Practice Location

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