Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
DR. CHRIS Y. KIM DDS
Gender: MALE
Other Name: YONGHYUN KIM
NPI: 1811413594
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Last Updated: | 2019-04-25 | ||
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Details
| Name | Value | ||||||||
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| NPI | 1811413594 | ||||||||
| Enumeration Date | 2017-08-15 | ||||||||
| NPI Type | 1 - Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address |
16213 STAR CREST WAY
FONTANA, CA 92336-1472 United States Phone: 909-275-1626 | Fax: View Map 
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| Primary Practice Address |
1508 N RIVERSIDE DR
ESPANOLA, NM 87532-2064 United States Phone: 505-753-0544 | Fax: View Map
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| Secondary Practice Address |
8400 OSUNA RD NE STE 5A
ALBUQUERQUE, NM 87111-2072 United States Phone: 505-884-1989 | Fax: View Map
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