Soodong Kim is a San Bernardino, California based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Soodong Kim is
38859 for General Practice Dentistry in California. His current practice location is
1728 N D St, San Bernardino. Patients can reach him at
909-886-0087.
Soodong Kim is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Soodong Kim speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Soodong Kim |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1728 N D St, San Bernardino, California, 92405-4418 |
| Phone: | 909-886-0087 |
| Fax: | 909-886-3533 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1689720740 |
| NPI Enumeration Date: | 25 Jan, 2007 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Soodong Kim are as mentioned below.
| License Number | Specialization | State | Status | |
| 38859 | General Practice Dentistry | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Soodong Kim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| B38859-01 | Other | California | CALIFORNIA HEALTHY FAMILY |
| G94047-01 | Medicaid | California | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2615 Canada Blvd, #303 Glendale, California |
| Zip: | 91208-2076 |
| Phone Number: | 818-247-2327 |
| Fax Number: | 909-886-3533 |
Patients can reach Soodong Kim at
1728 N D St, San Bernardino, California or can
call to book an appointment on 909-886-0087.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.