NPI 1730639188 · live from the CMS NPI Registry
A.S. Kim DDS, INC.
Dentist, General Practice in San Diego, CA. National Provider Identifier 1730639188, active.
NPI record
| NPI | 1730639188 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 501 Washington St Ste 740, San Diego, CA 92103 |
| Practice phone | 619-296-2172 |
| Mailing address | 3915 La Cresta Way, Bonita, CA 91902 |
| Enumerated | October 10, 2016 |
| Last updated | April 26, 2021 |
| Authorized official | Anne Kim, Ceo |
| Other names | Village Hillcrest Dental |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 55536 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.